| NPI | 1013036193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VILDERMAN Dentist 415-776-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40753) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |