| NPI | 1477962124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RYDER Prof And Chair Of Periodontology 415-476-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 63779) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |