NPI | 1699897967 |
---|---|
Entity Type | Organization |
Authorized Contact | TIPHANIE TRAN President 408-251-6217 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40051) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |