| NPI | 1659896827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RUTNER Owner 650-938-8127 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33512) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |