| NPI | 1710569215 |
|---|---|
| Doing Business As | MIDTOWN PROFESSIONAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LUONG Owner/Dentist 415-513-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |