| NPI | 1982126488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKY DHALIWAL Owner 650-654-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |