| NPI | 1992921423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY G. GAST Orthodontist 415-892-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 22800) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-06-12 |