| NPI | 1326318866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G BRICCA Dentist 415-461-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30763) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |