Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 57279 | CA |
NPI | 1003052051 |
---|---|
Provider Name | Dr. Laila Kafi |
First Address | San Francisco, CA 94123-3107 |
Second Address | San Francisco, CA 94123-3107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2008 |
Last Update Date | 27/04/2009 |