| NPI | 1013421734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETA RAMAIYA Office Manager 415-681-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58018) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |