| NPI | 1336067842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI GHOWSI President/CEO 408-220-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-07-10 |