| NPI | 1366571952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN MAZZETTI Dentist 650-588-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41477) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |