| NPI | 1184031502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CORCORAN Dentist 408-578-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23492) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |