| NPI | 1124322722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS LIN-SONG President 415-668-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 46491) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |