| NPI | 1528458403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRUJAL HARSHAD SHAH President 408-490-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58754) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2023-10-16 |