| NPI | 1619401015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EDWARD WARNOCK President 408-778-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 100843) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |