| NPI | 1720454432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANNE MARSCHIK Dr/ Coowner 831-372-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 036175) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |