| NPI | 1639507916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJULA JAISHANKAR CEO 408-836-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48726) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |