| NPI | 1861864134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T. SHEN Chief Financial Officer 650-589-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |