| NPI | 1124179320 |
|---|---|
| Doing Business As | WEST PORTAL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TERRI M NGUYEN CEO 415-661-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2021-05-26 |