| NPI | 1528700820 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL SURGERY CENTER - SAN JOSE |
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT ADAMS Representative 408-785-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |