NPI | 1407430630 |
---|---|
Doing Business As | MACATANGAY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRAD STARKWEATHER Manager 650-922-0897 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-05-12 |
Last Update Date | 2021-05-12 |