| NPI | 1093092686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABRICE J GALLEZ President 408-356-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 48268) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |