| NPI | 1386844231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E ABRAMSON President 650-369-9227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25856) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2022-12-02 |