| NPI | 1710679105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GUTHRIE Manager/ Dentist Anesthesiologist 408-314-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |