NPI | 1922540475 |
---|---|
Former Legal Business Name | SALLY A. ENG, DDS |
Entity Type | Organization |
Authorized Contact | SALLY ANNE ENG Dentist 415-601-8627 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 43000) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2016-11-15 |