| NPI | 1730241548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RUDOLPH BOCKS Owner President 408-266-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22783) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |