| NPI | 1811038003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL PERRY SWANN Owner 408-263-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 26792) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-12-29 |