| NPI | 1215599394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMY MONTES Director Of Centralized Billing 415-246-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |