NPI | 1821110446 |
---|---|
Entity Type | Organization |
Authorized Contact | EDMOND BEDROSSIAN President 415-956-6610 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 034671) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |