NPI | 1497540298 |
---|---|
Entity Type | Organization |
Authorized Contact | ARUN RAMAKUMAR CEO 408-656-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 1223E0200X Dentist Endodontics |
1223S0112X Dentist Oral and Maxillofacial Surgery | |
Enumeration Date | 2025-04-11 |
Last Update Date | 2025-04-11 |