| Ucsf Division Of Orthodontics | |
|
707 Parnassus Ave Box 0438 San Francisco CA 94143-0438 | |
| (415) 502-6707 | |
| (415) 514-0377 |
| Full Name | Ucsf Division Of Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 707 Parnassus Ave Box 0438, San Francisco, California |
| Authorized Official Name and Position | Charles N Bertolami (DEAN SCHOOL OF DENTISTRY) |
| Authorized Official Contact | 4154761323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Division Of Orthodontics 707 Parnassus Ave Box 0438 San Francisco CA 94143-0438 Ph: (415) 502-6707 | Ucsf Division Of Orthodontics 707 Parnassus Ave Box 0438 San Francisco CA 94143-0438 Ph: (415) 502-6707 |
| NPI Number | 1093880353 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093880353 | NPI | - | NPPES |
| G02003-01 | Other | CA | DENTI-CAL PROVIDER # |
| 2003 | Other | CA | DELTA DENTAL PROVIDER # |
| CGP166827 | Other | CA | CALIFORNIA CHILDRENS SERV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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