| NPI | 1609088624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KWON HSIEH Owner 415-567-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50401) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 50297) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |