| NPI | 1992928535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY AREVELO MARCOS Joint Partner 650-593-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42180) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 40464) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |