| NPI | 1679715932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FARMER Owner/President 415-637-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 45570) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2021-03-03 |