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129 Sacramento St San Francisco CA 94111-4001 | |
| (415) 362-1850 | |
| (415) 362-5912 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 129 Sacramento St, San Francisco, California |
| Authorized Official Name and Position | Parisa Mosavian (SECRETARY AND PARTNER OWNER) |
| Authorized Official Contact | 4153621850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
129 Sacramento St San Francisco CA 94111-4001 Ph: (415) 362-1850 | 129 Sacramento St San Francisco CA 94111-4001 Ph: (415) 362-1850 |
| NPI Number | 1194926816 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194926816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS 49150 (California) | Primary |
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