| NPI | 1154511616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CHUKREEFF President/Dentist 415-563-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50232) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |