| NPI | 1164607792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE POOLER Dentist 650-756-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 35647) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |