| NPI | 1154201895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHU MEI JESSIE CHANG Ownder 415-810-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |