| NPI | 1710798111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEBERT CHAN CHING President 415-518-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |