| Outreach Dental Group | |
|
450 Sutter St Rm 1925 San Francisco CA 94108-4107 | |
| (415) 297-0378 | |
| Not Available |
| Full Name | Outreach Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 450 Sutter St Rm 1925, San Francisco, California |
| Authorized Official Name and Position | Albina Batchaeva (CEO) |
| Authorized Official Contact | 4152970378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Dental Group 2194 Vizcaya Cir Campbell CA 95008-5646 Ph: (415) 297-0378 | Outreach Dental Group 450 Sutter St Rm 1925 San Francisco CA 94108-4107 Ph: (415) 297-0378 |
| NPI Number | 1174222889 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174222889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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