NPI | 1689692204 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY W. GIFFORD CEO Owner 408-578-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 50059) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |