| NPI | 1093922973 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AZEEM K. LAKHA President 650-328-6622 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 34139) | 
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 36224) | 
| Enumeration Date | 2007-05-17 | 
| Last Update Date | 2008-07-25 |