| NPI | 1447701420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KIRK RABITZ Dentist 408-309-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 47781) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |