| NPI | 1215008925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIN HEDAYATI Dentist 408-578-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36376) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2015-02-13 |