| NPI | 1487965687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINNARI PATEL General Dentist 650-521-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60105498) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |