| NPI | 1548110802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW NGUYEN Managing Member 408-513-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-08-26 |