| NPI | 1699044065 |
|---|---|
| Doing Business As | CUPERTINO ORAL SURGERY & DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | WEN FAN President 408-517-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |