| NPI | 1912305301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIK MOHAN Owner/Member 408-391-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 11055) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |