NPI | 1225198005 |
---|---|
Doing Business As | STEVENS CREEK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | TRACY TRANG NGO President 408-261-8882 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53252) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |