| NPI | 1780954057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN TAHERI President 408-226-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA C43736) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |