NPI | 1891972063 |
---|---|
Doing Business As | NONE |
Entity Type | Organization |
Authorized Contact | BERNARDO LAPENA LUCIANO Office Manager 408-258-3584 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41274) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2008-01-30 |