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 |