| NPI | 1740413467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA CLEMENTE DELA RAMA Dentist 650-878-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31448) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |