| NPI | 1588668008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROBERT JOHN President 650-430-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 32858) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2024-01-04 |