| NPI | 1265554109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEH MERAT Owner 408-578-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 20892) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 40276) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |