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 |