| NPI | 1932596152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORAN President 408-578-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA CA57351) |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2015-04-26 |