| 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 |