| NPI | 1912517517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAEL HILARIO Partner 415-787-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0300X Dentist Periodontics |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |