| NPI | 1265186191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JON OVIEDO President 415-203-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |