| NPI | 1609013853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORTIA D OBLEA Dentist 408-993-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50963) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |