| NPI | 1790101749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEL SERRANO Financial Assistant 415-476-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 2065) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |