| NPI | 1144701889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ANN HALLISY Owner Dentist 415-385-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36659) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |