| NPI | 1417719964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LOURDES YEO Owner 650-873-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-02-25 |