NPI | 1720740988 |
---|---|
Doing Business As | RAVIZZA DENTAL |
Entity Type | Organization |
Authorized Contact | KANCHAN H DHARMA Managing Dentist 408-286-0617 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-06 |
Last Update Date | 2021-10-06 |