| Ucsf Sfgh Maxillofacial Surgery | |
|
1001 Potrero Ave Room 1n1 San Francisco CA 94110-3518 | |
| (415) 206-6128 | |
| (415) 502-0817 |
| Full Name | Ucsf Sfgh Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1001 Potrero Ave, San Francisco, California |
| Authorized Official Name and Position | John Featherstone (INTERIM DEAN) |
| Authorized Official Contact | 4154768997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Sfgh Maxillofacial Surgery 1001 Potrero Ave Room 1n1 San Francisco CA 94110-3518 Ph: (415) 206-6128 | Ucsf Sfgh Maxillofacial Surgery 1001 Potrero Ave Room 1n1 San Francisco CA 94110-3518 Ph: (415) 206-6128 |
| NPI Number | 1730268657 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730268657 | NPI | - | NPPES |
| GR0041991 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
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