| 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 |