| NPI | 1154821239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDRICH SY CEO 650-992-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA D60826) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |