| NPI | 1609237759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STASON KATSURO SHISHIDO President/Owner 408-294-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 35551) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |