| NPI | 1801346317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK YEUNG Pediatric Dentist 415-730-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 63460) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |