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155 5th St Ste 2p San Francisco CA 94103-2919 | |
| (415) 929-6524 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 155 5th St, San Francisco, California |
| Authorized Official Name and Position | Ed Pegueros (ASST DEAN, BUDGET & FIN ADMIN) |
| Authorized Official Contact | 4153517192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
155 5th St Ste 2p San Francisco CA 94103-2919 Ph: (415) 929-6524 | 155 5th St Ste 2p San Francisco CA 94103-2919 Ph: (415) 929-6524 |
| NPI Number | 1295131654 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295131654 | NPI | - | NPPES |
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