| NPI | 1548756232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVNEET DHALIWAL Dentist/Owner 408-561-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 16623) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: MD 16623) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-01-27 |