NPI | 1518121433 |
---|---|
Entity Type | Organization |
Authorized Contact | THELMA C DAWANA President CEO 408-719-1005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54746) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |