| NPI | 1578254728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ANTHONY STARR Owner 650-327-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |