| NPI | 1881884930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILA SANTOS-BERKOWITZ Owner 415-614-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43656) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 43590) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |