| NPI | 1306235288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN MCCALL WITHAM President/Owner/Dentist 408-739-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 34794) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |