| Justin Tin Dds Dental Group A Professional Corporation | |
|
1636 Noriega St San Francisco CA 94122-4306 | |
| (628) 628-1636 | |
| Not Available |
| Full Name | Justin Tin Dds Dental Group A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1636 Noriega St, San Francisco, California |
| Authorized Official Name and Position | Justin Tin (OWNER) |
| Authorized Official Contact | 4152183866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Tin Dds Dental Group A Professional Corporation 1636 Noriega St San Francisco CA 94122-4306 Ph: (628) 628-1636 | Justin Tin Dds Dental Group A Professional Corporation 1636 Noriega St San Francisco CA 94122-4306 Ph: (628) 628-1636 |
| NPI Number | 1649900622 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Medicare PECOS PAC ID | 4183097918 |
|---|---|
| Medicare Enrollment ID | O20230227001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649900622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Justin Tin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124233663 PECOS PAC ID: 5092188821 Enrollment ID: I20230227001404 |
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