| NPI | 1750508867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA AREVALO MARCOS President 415-239-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33895) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |