NPI | 1285974600 |
---|---|
Other Name | DE LOS REYES KING ST. DENTAL, INC. |
Entity Type | Organization |
Authorized Contact | MARIA DE LOS REYES President 415-347-3817 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2013-02-21 |
Last Update Date | 2013-02-21 |