NPI | 1356487128 |
---|---|
Entity Type | Organization |
Authorized Contact | LORRAINE C. POON Owner 415-397-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33832) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2008-02-11 |