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 |