| NPI | 1184921082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA CATALINA PAYNE Dentist/ President 408-912-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 59792) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |