| NPI | 1619041365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BERTOLAMI Dean School Of Dentistry 415-476-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |