| NPI | 1538577663 |
|---|---|
| Other Name | SAN BRUNO DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA LUISA BUGARIN SANTOS CEO/Dentist 650-873-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |