| NPI | 1487031852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORAN President 831-424-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA CA57351) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |