| NPI | 1255965729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL SHIMIZU General Partner 408-738-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |