NPI | 1205922705 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA M LIZAOLA Administrative Assistant 831-442-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 37400) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-03-29 |