NPI | 1962428359 |
---|---|
Entity Type | Organization |
Authorized Contact | GHINA MORAD President & Officer 650-592-6396 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49149) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2024-04-04 |