| NPI | 1922247618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DEL CARMEN Orthodontist 650-417-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 38415) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |