| NPI | 1467426882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNIE S ZARATE-REYES President 408-666-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45798) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-06-23 |