NPI | 1942737234 |
---|---|
Doing Business As | GOLDEN STATE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | FARANAK SHAHANI President 650-494-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 13410) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 61061) |
124Q00000X Dental Hygienist | |
Enumeration Date | 2017-05-17 |
Last Update Date | 2017-05-18 |