| NPI | 1124093752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVA S CHERUKURI Director 650-369-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48245) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-08-22 |