| NPI | 1124002480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GELAREH RAHBAR Dentist/Owner 415-986-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42765) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2012-07-11 |