| Fillmore Dental Spa | |
|
3220 Fillmore St San Francisco CA 94123-3403 | |
| (415) 614-9850 | |
| (415) 614-9881 |
| Full Name | Fillmore Dental Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3220 Fillmore St, San Francisco, California |
| Authorized Official Name and Position | Cecila Santos-berkowitz (OWNER) |
| Authorized Official Contact | 4156149850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fillmore Dental Spa 3220 Fillmore St San Francisco CA 94123-3403 Ph: (415) 614-9850 | Fillmore Dental Spa 3220 Fillmore St San Francisco CA 94123-3403 Ph: (415) 614-9850 |
| NPI Number | 1881884930 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881884930 | NPI | - | NPPES |
| 53490 | Other | CA | PERIODONTIST |
| 43656 | Other | CA | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43656 (California) | Primary |
| 1223P0300X | Dentist - Periodontics | 43590 (California) | Secondary |
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