| NPI | 1093589533 |
|---|---|
| Doing Business As | SAN ANDREAS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | THANH PHAM President 408-702-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |