| NPI | 1013305689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON Y LEE President 415-472-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 42929) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |