| NPI | 1669988531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY FITZPATRICK Owner Dentist, President 415-563-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52856) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |