| NPI | 1346560554 |
|---|---|
| Doing Business As | MILLBRAE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARK RUSSELL DRAHEIM VP 650-583-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-08-09 |