Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 29067 | CA |
NPI | 1033768049 |
---|---|
Provider Name | Dr. Raymond H Katz |
First Address | San Francisco, CA 94118-2817 |
Second Address | San Francisco, CA 94118-2817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2019 |
Last Update Date | 11/09/2019 |