| NPI | 1154805463 |
|---|---|
| Doing Business As | SERRAMONTE RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES D CONLEY Owner/Dentist 415-347-7177 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |