NPI | 1447758057 |
---|---|
Doing Business As | OCEAN AVENUE DENTISTRY |
Entity Type | Organization |
Authorized Contact | SANDY T SHIH President 415-334-0421 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-01-29 |
Last Update Date | 2018-01-29 |