| NPI | 1487752069 |
|---|---|
| Former Legal Business Name | LASER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN TIN Senior Dentist 415-759-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA b38504) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA b37744) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |