| NPI | 1154442317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETA JAY CARLOS Dentist 415-664-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38023) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |