| NPI | 1528361136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAS W WAFELBAKKER Partner 408-776-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 034790) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2015-12-30 |