| NPI | 1225179047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA A MARTINEZ Rda 650-964-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-07-21 |