| NPI | 1750502100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALDWIN LOUIE President 415-221-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24039) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |