| NPI | 1952435885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEENA JACOB President 888-543-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA G89849-01) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-08-12 |