Innovative Dental Care | |
1600 Webster St # C San Francisco CA 94115-3276 | |
(415) 500-2116 | |
(415) 500-2316 |
Full Name | Innovative Dental Care |
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Speciality | Dentist - General Practice |
Location | 1600 Webster St # C, San Francisco, California |
Authorized Official Name and Position | Alexander Vilderman (DENTIST/OWNER) |
Authorized Official Contact | 4155002116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Dental Care 1600 Webster St # C San Francisco CA 94115-3276 Ph: (415) 500-2116 | Innovative Dental Care 1600 Webster St # C San Francisco CA 94115-3276 Ph: (415) 500-2116 |
NPI Number | 1427499680 |
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Provider Enumeration Date | 07/16/2013 |
Last Update Date | 07/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427499680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 40753 (California) | Primary |
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