| NPI | 1871622266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS SALVATORE D'AGOSTA Dentist 408-248-7048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22794) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-08-22 |