| NPI | 1255045282 |
|---|---|
| Other Name | CUPERTINO PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELINA LUCCHINI Supervisor 408-508-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |