| NPI | 1780066142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WILLIAM YOUNG President 415-513-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 56904) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |