NPI | 1275857609 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNEET BOPARAI Vice President 408-482-2103 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47691) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 49039) |
Enumeration Date | 2010-03-14 |
Last Update Date | 2010-03-14 |