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 |