| NPI | 1770598328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE SANTOS Office Manager 831-636-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 16053) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-03-07 |