NPI | 1700110384 |
---|---|
Doing Business As | MARYJANE L. FUSTER DMD APC |
Entity Type | Organization |
Authorized Contact | MARYJANE L FUSTER Dentist/Owner 408-934-0391 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43786) |
Enumeration Date | 2009-09-29 |
Last Update Date | 2009-09-29 |