NPI | 1649335852 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR M ENRIQUEZ Owner Dentist 408-225-1885 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA C2714078) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-08-22 |