| NPI | 1144593682 |
|---|---|
| Doing Business As | WASHINGTON SQUARE PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JARED WARREN POOL President 415-891-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58832) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-03-09 |