| 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 |