| NPI | 1184944977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOTUS L MAHON President 408-859-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33490) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |