| NPI | 1720502974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE HSIEH Owner 415-496-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: AZ D009285) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D009284) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AZ D009285) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-08-11 |