| NPI | 1376612960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL REDDY Dds Dean 415-476-2045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 2002) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-04-09 |