| NPI | 1306079744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZANIN HAKIM Dentist/Owner 415-693-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52988) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52987) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |