NPI | 1194964585 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNDERPAL S DAIL President 831-373-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 46174) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53058) |
Enumeration Date | 2009-02-09 |
Last Update Date | 2009-02-09 |