| Ucsf School Of Dentistry | |
|
707 Parnassus Ave Box 0762 San Francisco CA 94143-0762 | |
| (415) 476-1731 | |
| Not Available |
| Full Name | Ucsf School Of Dentistry |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 707 Parnassus Ave, San Francisco, California |
| Authorized Official Name and Position | Mark Ryder (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4154761699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf School Of Dentistry 707 Parnassus Ave Box 0762 San Francisco CA 94143-0762 Ph: () - | Ucsf School Of Dentistry 707 Parnassus Ave Box 0762 San Francisco CA 94143-0762 Ph: (415) 476-1731 |
| NPI Number | 1740672005 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740672005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 64230 (California) | Primary |
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