| NPI | 1598127466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY H SIU President 415-312-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56679) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |