| NPI | 1083771422 |
|---|---|
| Doing Business As | MISSION TERRACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS CHEN Owner 415-586-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46570) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-06-27 |