| Ucsf Orofacial Center | |
|
707 Parnassus Ave San Francisco CA 94143 | |
| (415) 476-1316 | |
| (415) 476-8999 |
| Full Name | Ucsf Orofacial Center |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 707 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | John D Featherstone (INTERIM DEAN) |
| Authorized Official Contact | 4154768997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Orofacial Center 707 Parnassus Ave Box 0756 San Francisco CA 94143 Ph: (415) 476-1316 | Ucsf Orofacial Center 707 Parnassus Ave San Francisco CA 94143 Ph: (415) 476-1316 |
| NPI Number | 1922187848 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922187848 | NPI | - | NPPES |
| GR0041992 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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