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4585 Mission St San Francisco CA 94112-2603 | |
| (415) 584-8500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4585 Mission St, San Francisco, California |
| Authorized Official Name and Position | Eugene Roytman (OWNER) |
| Authorized Official Contact | 4155848500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4585 Mission St San Francisco CA 94112-2603 Ph: (415) 584-8500 | 4585 Mission St San Francisco CA 94112-2603 Ph: (415) 584-8500 |
| NPI Number | 1720120652 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720120652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46523 (California) | Primary |
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