| Avicennas Group Inc | |
|
814 Mission St Fl 6 San Francisco CA 94103-3018 | |
| (415) 323-4937 | |
| (415) 358-8640 |
| Full Name | Avicennas Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 814 Mission St Fl 6, San Francisco, California |
| Authorized Official Name and Position | Yang Song (ADMINISTRATOR) |
| Authorized Official Contact | 4153234937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avicennas Group Inc 814 Mission St Fl 6 San Francisco CA 94103-3018 Ph: (415) 323-4937 | Avicennas Group Inc 814 Mission St Fl 6 San Francisco CA 94103-3018 Ph: (415) 323-4937 |
| NPI Number | 1881160018 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881160018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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