| NPI | 1750801197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA ZANORANO Office Manager 408-884-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |