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2323 Noriega St Suite 208 San Francisco CA 94122-4259 | |
| (415) 759-7888 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2323 Noriega St, San Francisco, California |
| Authorized Official Name and Position | Justin Tin (SENIOR DENTIST) |
| Authorized Official Contact | 4157597888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2323 Noriega St Suite 208 San Francisco CA 94122-4259 Ph: (415) 759-7888 | 2323 Noriega St Suite 208 San Francisco CA 94122-4259 Ph: (415) 759-7888 |
| NPI Number | 1487752069 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487752069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | B37744 (California) | Secondary |
| 122300000X | Dentist | B38504 (California) | Primary |
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