| NPI | 1932276003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE VIZZA Office Manager 415-897-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43841) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 46590) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |