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260 Stockton St Fl 3 San Francisco CA 94108-5314 | |
| (415) 399-9200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 260 Stockton St Fl 3, San Francisco, California |
| Authorized Official Name and Position | Todor Stavrev (ORTHODONTIST) |
| Authorized Official Contact | 4153999200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
260 Stockton St Fl 3 San Francisco CA 94108-5314 Ph: (415) 399-9200 | 260 Stockton St Fl 3 San Francisco CA 94108-5314 Ph: (415) 399-9200 |
| NPI Number | 1164047668 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164047668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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