| NPI | 1730412461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BARGHOUTH Dental Director 408-918-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58660) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |