| Julia A. Hallisy D.d.s., Inc. | |
|
345 W Portal Ave Ste 210 San Francisco CA 94127-1429 | |
| (415) 681-1011 | |
| Not Available |
| Full Name | Julia A. Hallisy D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 345 W Portal Ave Ste 210, San Francisco, California |
| Authorized Official Name and Position | Julia Ann Hallisy (OWNER DENTIST) |
| Authorized Official Contact | 4153855869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia A. Hallisy D.d.s., Inc. 345 W Portal Ave Ste 210 San Francisco CA 94127-1429 Ph: (415) 681-1011 | Julia A. Hallisy D.d.s., Inc. 345 W Portal Ave Ste 210 San Francisco CA 94127-1429 Ph: (415) 681-1011 |
| NPI Number | 1144701889 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144701889 | NPI | - | NPPES |
| 36659 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36659 (California) | Primary |
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