| NPI | 1821212895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY MIDORI HATAKEYAMA Corp Secretary 408-464-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 22894) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |