| Potrero Hill Dental | |
|
698 Vermont St San Francisco CA 94107-2636 | |
| (415) 890-4449 | |
| Not Available |
| Full Name | Potrero Hill Dental |
|---|---|
| Speciality | Dentist |
| Location | 698 Vermont St, San Francisco, California |
| Authorized Official Name and Position | Nancy Ly (CO-OWNER/DENTIST) |
| Authorized Official Contact | 4158904449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potrero Hill Dental 698 Vermont St San Francisco CA 94107-2636 Ph: (415) 890-4449 | Potrero Hill Dental 698 Vermont St San Francisco CA 94107-2636 Ph: (415) 890-4449 |
| NPI Number | 1831567411 |
|---|---|
| Provider Enumeration Date | 09/12/2015 |
| Last Update Date | 09/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831567411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61714 (California) | Secondary |
| 122300000X | Dentist | 60629 (California) | Primary |
| 1223E0200X | Dentist - Endodontics | 59294 (California) | Secondary |
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