| NPI | 1467105031 |
|---|---|
| Doing Business As | CUPERTINO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELINA LUCCHINI Supervisor 408-257-3031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |