| NPI | 1255913174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIO BEDOLLA Dentist 831-728-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-26 |