| NPI | 1114126430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ADAMO Chief Dental Officer 831-678-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA 34192) |
| Additional Taxonomies | 261Q00000X (Licence: CA 34192) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |