| NPI | 1316074149 |
|---|---|
| Other Name | ORTHODONTICS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ED PEGUEROS Asst Dean, Budget & Fin Admin 415-351-7192 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-05-17 |