| 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 |