| NPI | 1154669190 |
|---|---|
| Doing Business As | MARIN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARGARET KOTULA Doctor 415-265-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37319) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 59323) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |