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707 Parnassus Ave San Francisco CA 94143-0752 | |
| (415) 502-7320 | |
| (415) 514-3180 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 707 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | Michael Reddy (DEAN, SCHOOL OF DENTISTRY) |
| Authorized Official Contact | 4154769135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
707 Parnassus Ave D4000 San Francisco CA 94143-0758 Ph: (415) 476-1784 | 707 Parnassus Ave San Francisco CA 94143-0752 Ph: (415) 502-7320 |
| NPI Number | 1114006061 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 6406802982 |
|---|---|
| Medicare Enrollment ID | O20050328000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114006061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
| Provider Name | Arun B Sharma |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114075629 PECOS PAC ID: 2466521745 Enrollment ID: I20080513000785 |
| Provider Name | Rishabh Acharya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780239954 PECOS PAC ID: 8325457245 Enrollment ID: I20210505003171 |
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