| 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 |