| NPI | 1154544260 |
|---|---|
| Doing Business As | SOUTH VAN NESS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHARLES C. NIP Owner 415-431-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 20241) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |