NPI | 1205266269 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW J. TERAMURA President 415-215-5792 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52941) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2013-11-12 |