| NPI | 1720011745 |
|---|---|
| Doing Business As | CAMINO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHEILA TAN Administrator 650-962-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 42954) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 38508) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |