| NPI | 1184395493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN TSAI President 415-794-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2021-09-26 |