| NPI | 1699100313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN VU Dentist 408-262-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 44798) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |