| NPI | 1245441617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUNGLING SHAAW Officer 408-223-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48995) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |