| NPI | 1366957953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE VIRGINIA VALLEE President 650-325-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52951) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |