| NPI | 1508095068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAULIK M SHAH Owner Dentist/CEO 209-247-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50677) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |