| 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 |