| NPI | 1972993350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALTAZAR GUZMAN President 415-567-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44596) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |