| NPI | 1669551040 |
|---|---|
| Doing Business As | PALO ALTO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEVEN A KELLER Dentist And President Of Corporatio 650-323-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27006) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 29456) |
| 1223G0001X Dentist, General Practice (Licence: CA 35911) | |
| 1223G0001X Dentist, General Practice (Licence: CA 40843) | |
| 1223G0001X Dentist, General Practice (Licence: CA 42972) | |
| 1223G0001X Dentist, General Practice (Licence: CA 49234) | |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2020-08-22 |