NPI | 1063771400 |
---|---|
Entity Type | Organization |
Authorized Contact | CHING YEE PANG Office Manager 415-373-7276 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44637CA) |
Enumeration Date | 2012-05-04 |
Last Update Date | 2012-05-04 |