| NPI | 1275631491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LYNN GUM Owner, Orthodontist 408-269-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 34707) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-08-17 |