| NPI | 1205305760 |
|---|---|
| Doing Business As | B ORTHO |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BRADFORD BAUTER Owner 415-269-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |