NPI | 1306040100 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE W. LEE President 415-386-0790 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46489) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2007-12-17 |