NPI | 1881737435 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL L. NAKANO Owner 408-245-2831 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23546) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-08-22 |