| NPI | 1831567411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LY Co Owner/Dentist 415-890-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 60629) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61714) |
| 1223E0200X Dentist, Endodontics (Licence: CA 59294) | |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |