| NPI | 1639297609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAREH TAJBAKHSH President 650-756-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49007) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |