| NPI | 1316092661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE NISHIMINE President 408-378-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 38284) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 43218) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |