| NPI | 1265394126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELHAM ZIAIE MATIN Owner 415-563-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-09 |