NPI | 1700289691 |
---|---|
Doing Business As | WILLOW FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANANDHI DJEGARADJANE Owner/President 650-326-3764 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47069) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-10-07 |