| NPI | 1518331123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASIT ARANYARACHKUL Director 408-306-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 56274) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |