NPI | 1225465560 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH TSE Owner/Pediatric Dentist 650-871-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 45782) |
Enumeration Date | 2013-10-01 |
Last Update Date | 2013-10-01 |