| NPI | 1871763078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUAN N VAN Owner/Dentist 408-270-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52014) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-07 |