| NPI | 1265263842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED PEGUEROS Assoc. Dean Of Budget And Finance 415-351-7192 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-14 |