| NPI | 1740770650 |
|---|---|
| Other Name | OPEN WIDE |
| Entity Type | Organization |
| Authorized Contact | JANA SABO Dentist 415-400-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist (Licence: CA 61213) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-06-16 |