| NPI | 1356751630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HYUNAECHANG MEADOR Coe 415-279-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 63128) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |