| NPI | 1598098154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE TODD IVERSON Partner 415-398-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50614) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |