| NPI | 1205556933 |
|---|---|
| Doing Business As | LAUREL VILLAGE DENTAL LOFT |
| Entity Type | Organization |
| Authorized Contact | MARY ANNE BAYSAC Owner 415-518-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |