| NPI | 1649663287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFA KHALEEL Owner 650-336-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56241) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 62645) |
| 1223E0200X Dentist, Endodontics (Licence: CA 55270) | |
| 1223P0300X Dentist, Periodontics (Licence: CA 38872) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 46411) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42905) | |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |