| NPI | 1558535062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAHID EBRAHIMIAN Dentist/Manager 650-367-4300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50904) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |