NPI | 1922211994 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH M. ABE President 650-961-4492 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38242) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |