| NPI | 1396577656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD K PHAM Owner Dentist 408-813-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |