NPI | 1508976853 |
---|---|
Entity Type | Organization |
Authorized Contact | GORDON NAGARE President 650-342-5721 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24045) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |