| NPI | 1639590003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN MURRAY Office Manager 650-375-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61391) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 22673) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |