| NPI | 1467758847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILU MUNIZ Office Manager 831-373-2967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 29774) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 58276) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |