| NPI | 1598525834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN CHEHREHSA Sole Owner 408-832-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |