| NPI | 1003792797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ARNOLD Deputy Director, PFS/Accounting 415-759-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |