| NPI | 1518977008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TAI Dental Clinic Director 408-879-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 9149302) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 9149301) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |