| NPI | 1710001631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. CHONG President/CEO 415-681-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 1605) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2024-09-09 |