| NPI | 1396965265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ROBERT MORRILL President(Orthodontist) 650-322-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 18379) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |