| NPI | 1245334713 |
|---|---|
| Doing Business As | MID - PENINSULA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARY ROSE VENTURA GARCIA President General Dentist 650-551-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40593) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |