NPI | 1285006593 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDY HANS Owner 408-842-0418 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59700) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 55003) |
1223G0001X Dentist, General Practice (Licence: CA 60718) | |
Enumeration Date | 2015-10-26 |
Last Update Date | 2024-10-01 |