| NPI | 1023023629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PATRICK COLLINS President 415-461-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 31766) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |