NPI | 1114126778 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY L KITAMURA President 408-265-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46624) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 46663) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2007-07-13 |