| NPI | 1477679439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THEODORE CONSTANT Partner 650-321-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 34600) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |