| NPI | 1922683770 |
|---|---|
| Doing Business As | SALT & LIGHT ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE P PURNOMO Orthodontist/Owner 415-859-8135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |