| Prosthetic Dentistry | |
|
450 Sutter St Suite 1636 San Francisco CA 94108-4206 | |
| (415) 956-5162 | |
| (415) 956-0166 |
| Full Name | Prosthetic Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 450 Sutter St, San Francisco, California |
| Authorized Official Name and Position | Galen Wagnild (PARTNER) |
| Authorized Official Contact | 4159565162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosthetic Dentistry 450 Sutter St Suite 1636 San Francisco CA 94108-4206 Ph: (415) 956-5162 | Prosthetic Dentistry 450 Sutter St Suite 1636 San Francisco CA 94108-4206 Ph: (415) 956-5162 |
| NPI Number | 1306975073 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 04/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306975073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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