| NPI | 1114124484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN JEAN TOY Owner 650-757-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 38467) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |