| NPI | 1134253149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD WESTON COOLIDGE President 408-736-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 24373) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |