| NPI | 1275035180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN LIN Dentist/Owner 650-302-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019030855) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-08 |