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 |