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2645 Ocean Ave Suite 203 San Francisco CA 94132-1633 | |
| (415) 469-7777 | |
| (415) 469-7772 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2645 Ocean Ave, San Francisco, California |
| Authorized Official Name and Position | Cecilia Lowe (SECRETARY) |
| Authorized Official Contact | 4154697777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2645 Ocean Ave Suite 203 San Francisco CA 94132-1633 Ph: (415) 469-7777 | 2645 Ocean Ave Suite 203 San Francisco CA 94132-1633 Ph: (415) 469-7777 |
| NPI Number | 1285813402 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285813402 | NPI | - | NPPES |
| 989695 | Other | CA | UNITED CONCORDIA PID |
| B44224-01 | Other | CA | SF HEALTHY FAMILY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44224 (California) | Primary |
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