| NPI | 1720437593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CORSA President 650-204-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 052958) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2016-06-12 |