| NPI | 1992227870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHKAN YOUSEFI Owner 408-888-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413246) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401415049) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |