| 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 |