| NPI | 1427499680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VILDERMAN Dentist/Owner 415-500-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40753) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |