| NPI | 1114053477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT CALVERT Dentist Owner 408-257-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25867) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-10-06 |