NPI | 1114128337 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E. WATSON Dentist 415-564-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 22188) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-08-22 |