| NPI | 1083911051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR V. SHUSTER President Of Corporation 415-517-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 54533) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |