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1196 Valencia St Unit 106 San Francisco CA 94110-3027 | |
| (415) 400-3854 | |
| (415) 712-7998 |
| Full Name | |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 1196 Valencia St Unit 106, San Francisco, California |
| Authorized Official Name and Position | Jana Sabo (DENTIST) |
| Authorized Official Contact | 4154003854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1196 Valencia St Unit 106 San Francisco CA 94110-3027 Ph: (415) 400-3854 | 1196 Valencia St Unit 106 San Francisco CA 94110-3027 Ph: (415) 400-3854 |
| NPI Number | 1740770650 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740770650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | 61213 (California) | Primary |
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