| NPI | 1447425392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJU YEDDULA REDDY President 650-387-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA OMS46) |
| Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA A80394) |
| 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA GA 1293) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |