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220 Montgomery St Suite 825 San Francisco CA 94104-3402 | |
| (415) 981-9000 | |
| (415) 981-9006 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 220 Montgomery St, San Francisco, California |
| Authorized Official Name and Position | Stanley H Siu (PRESIDENT) |
| Authorized Official Contact | 4153124127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
220 Montgomery St Suite 825 San Francisco CA 94104-3402 Ph: (415) 981-9000 | 220 Montgomery St Suite 825 San Francisco CA 94104-3402 Ph: (415) 981-9000 |
| NPI Number | 1598127466 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598127466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56679 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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