| NPI | 1437522737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DEN BESTEN Chair 415-502-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 51678) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |