| NPI | 1225254022 |
|---|---|
| Doing Business As | EMBARCADERO DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEVEN K OLSEN Owner 415-398-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |