| NPI | 1164437554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE KJ LOOK President 415-956-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25936) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |