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 |