| NPI | 1457060782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHU SHARMA Chief Executive Officer 831-521-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 122300000X Dentist | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-12-12 |