| Ucsf | |
|
707 Parnassus Ave San Francisco CA 94143-2210 | |
| (415) 476-2563 | |
| Not Available |
| Full Name | Ucsf |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 707 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | Mark Ryder (PROF AND CHAIR OF PERIODONTOLOGY) |
| Authorized Official Contact | 4154761699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Box 0762 707 Parnassus Ave San Francisco CA 94143 Ph: (415) 476-2563 | Ucsf 707 Parnassus Ave San Francisco CA 94143-2210 Ph: (415) 476-2563 |
| NPI Number | 1477962124 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477962124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 63779 (California) | Primary |
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