NPI | 1134662828 |
---|---|
Doing Business As | SUNNYVALE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JONATHAN DUK GEN CHANG President 408-736-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61014) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 100295) |
1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61238) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: CA 62413) | |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |