| NPI | 1811774755 |
|---|---|
| Doing Business As | WEST PORTAL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TIFFANY H NGUYEN President 408-332-7954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-16 |