| NPI | 1972138832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN HER President 408-386-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |