NPI | 1801290416 |
---|---|
Doing Business As | SUNNYVALE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LYNN PATRICE SANTOS CFO,VP, Partner 408-593-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53601) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 13976) |
Enumeration Date | 2014-10-11 |
Last Update Date | 2014-10-11 |