NPI | 1699199950 |
---|---|
Doing Business As | PRESIDIO DENTAL |
Entity Type | Organization |
Authorized Contact | KENNETH KARAMYAN Dentist 415-737-0430 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 50618) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2014-02-06 |