| NPI | 1427373620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALBERTO PONCE Owner 650-321-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 54949) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |