| NPI | 1164965299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY HANS President 408-923-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 60818) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 59700) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-12-04 |