NPI | 1366575490 |
---|---|
Other Name | DENTAL IMPLANT & ORAL SURGERY CENTER |
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 |