| NPI | 1568113660 |
|---|---|
| Doing Business As | GUADALUPE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | THACHTU LE NGUYEN Owner 408-509-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |