| NPI | 1588861892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD BARKIN Managing Partner 415-923-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |