| NPI | 1871948307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN W OSTWALD Owner 415-775-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30245) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |