| NPI | 1275545345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D LEE President 650-574-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA D-19108) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA D-19108) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2025-09-11 |