| NPI | 1417385006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LERIDA FELIZARDO LIPUMANO-PICAZO Dentist/Owner 650-343-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40848) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |