| NPI | 1386663300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ HUNT Executive Director 408-445-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 36971) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |