| NPI | 1396282398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN DAVIES President 415-823-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 62847) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |