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 |