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3109 Geary Blvd San Francisco CA 94118-3316 | |
| (415) 668-8600 | |
| (415) 668-8601 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 3109 Geary Blvd, San Francisco, California |
| Authorized Official Name and Position | Dennis Song (PRESIDENT) |
| Authorized Official Contact | 4156688600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3109 Geary Blvd San Francisco CA 94118-3316 Ph: (415) 668-8600 | 3109 Geary Blvd San Francisco CA 94118-3316 Ph: (415) 668-8600 |
| NPI Number | 1649599267 |
|---|---|
| Provider Enumeration Date | 05/21/2010 |
| Last Update Date | 09/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649599267 | NPI | - | NPPES |
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