| NPI | 1801612072 |
|---|---|
| Doing Business As | BASCOM FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KARAN MODY Owner 408-247-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |