| NPI | 1346453743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J. NOGUEIRO Owner 415-824-2713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 034639) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |