| Nicholas Goultas, Dds, Pc | |
|
5011 Geary Blvd Ste A San Francisco CA 94118-2880 | |
| (650) 703-7451 | |
| Not Available |
| Full Name | Nicholas Goultas, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5011 Geary Blvd Ste A, San Francisco, California |
| Authorized Official Name and Position | Nicholas George Goultas (CEO) |
| Authorized Official Contact | 6507037451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Goultas, Dds, Pc 1831 Polk St Apt 107 San Francisco CA 94109-3013 Ph: (650) 703-7451 | Nicholas Goultas, Dds, Pc 5011 Geary Blvd Ste A San Francisco CA 94118-2880 Ph: (650) 703-7451 |
| NPI Number | 1790474880 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790474880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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