| NPI | 1922503960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH MINGRONE Dentist/President 408-679-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 64915) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |