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 |