| NPI | 1316351216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON ALLEN STEVENSON President 408-259-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22289) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |