Presidio Dental | |
2920 Lyon St San Francisco CA 94123-3226 | |
(415) 737-0430 | |
Not Available |
Full Name | Presidio Dental |
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Speciality | Dentist |
Location | 2920 Lyon St, San Francisco, California |
Authorized Official Name and Position | Kenneth Karamyan (DENTIST) |
Authorized Official Contact | 4157370430 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Presidio Dental 2920 Lyon St San Francisco CA 94123-3226 Ph: (415) 737-0430 | Presidio Dental 2920 Lyon St San Francisco CA 94123-3226 Ph: (415) 737-0430 |
NPI Number | 1699199950 |
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Provider Enumeration Date | 02/06/2014 |
Last Update Date | 02/06/2014 |
Medicare PECOS PAC ID | 7214361930 |
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Medicare Enrollment ID | O20200103002425 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699199950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 50618 (California) | Primary |
Provider Name | Kenneth Karamyan |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1588686117 PECOS PAC ID: 8123452844 Enrollment ID: I20200103002434 |
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