| NPI | 1366575490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS HYUNJIN CHUNG Surgeon 415-401-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0008X Dentist Oral and Maxillofacial Radiology (Licence: CA 45561) |
| Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA 45561) |
| 292200000X Dental Laboratory (Licence: CA 45561) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |