| NPI | 1487725529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ANTHONY MEDNICK President 408-867-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA D22165) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2014-03-01 |