Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 61238 | CA |
NPI | 1063767044 |
---|---|
Provider Name | Dr. Scott Ngai |
First Address | Santa Clara, CA 95050-5600 |
Second Address | Santa Clara, CA 95050-5600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2012 |
Last Update Date | 15/05/2014 |