| Ucsf Periodontal Specialty Clinic | |
|
707 Parnassus Ave D-3013 San Francisco CA 94143-2210 | |
| (415) 476-1634 | |
| (415) 476-1563 |
| Full Name | Ucsf Periodontal Specialty Clinic |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 707 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | Charles Bertolami (DEAN) |
| Authorized Official Contact | 4154761323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Periodontal Specialty Clinic 707 Parnassus Ave D-3013 San Francisco CA 94143-2210 Ph: (415) 476-1634 | Ucsf Periodontal Specialty Clinic 707 Parnassus Ave D-3013 San Francisco CA 94143-2210 Ph: (415) 476-1634 |
| NPI Number | 1710065255 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710065255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2087 (California) | Primary |
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