| NPI | 1851538698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENY G RUDASHEVSKY Dentist 408-774-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA B40720) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |