| NPI | 1336508654 |
|---|---|
| Other Name | PACIFIC VIRTUAL DENTAL HOME CLINIC |
| Entity Type | Organization |
| Authorized Contact | ED PEGUEROS Asst Dean, Budget & Fin Admin 415-351-7192 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-07-22 |