NPI | 1639322688 |
---|---|
Doing Business As | EDENVALE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MINDI CHAU THAI Co Owner, President 408-225-5883 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49010) |
Enumeration Date | 2008-11-03 |
Last Update Date | 2008-11-03 |