| NPI | 1235339169 |
|---|---|
| Other Name | |
| Entity Type | Organization |
| Authorized Contact | RAMON E PENA Chief Executive Officer 831-763-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 070000162) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |