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 |