1012 GROUP, INC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1730535774- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 800 S B ST SUITE #200, SAN MATEO, CA, 944014271
- Phone
- (650) 458-3727
Specialties & Taxonomies
Dentist, General Practice
Primary License: CA #58767