Clint K Taura Dds Pc | |
1788 Sutter St Ste 201 San Francisco CA 94115-3218 | |
(415) 563-2000 | |
Not Available |
Full Name | Clint K Taura Dds Pc |
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Speciality | Clinic/Center |
Location | 1788 Sutter St Ste 201, San Francisco, California |
Authorized Official Name and Position | Clint Kohichiro Taura (OWNER DENTIST) |
Authorized Official Contact | 4155632000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clint K Taura Dds Pc 1788 Sutter St Ste 201 San Francisco CA 94115-3218 Ph: (415) 563-2000 | Clint K Taura Dds Pc 1788 Sutter St Ste 201 San Francisco CA 94115-3218 Ph: (415) 563-2000 |
NPI Number | 1740884691 |
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Provider Enumeration Date | 11/22/2020 |
Last Update Date | 11/22/2020 |
Medicare PECOS PAC ID | 5496151540 |
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Medicare Enrollment ID | O20210915000767 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740884691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Clint Taura |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1265834923 PECOS PAC ID: 4183044712 Enrollment ID: I20201020001060 |
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