| NPI | 1720374572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHOEBE GOOD President 415-399-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |