| NPI | 1104652346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEE President 408-205-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |