| NPI | 1760507388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY S LEE President 415-398-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39675) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 57678) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-10-13 |