| NPI | 1659476075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARDIA ANDRE SASSANI President 408-247-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50525) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |