Ucsf Sfgh Medical Group Dept Of Oral And Maxillofacial Surgery | |
1001 Potrero Avenue, Bldg 5, Room 1n1 San Francisco CA 94110-3518 | |
(415) 502-0661 | |
(415) 476-6206 |
Full Name | Ucsf Sfgh Medical Group Dept Of Oral And Maxillofacial Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, California |
Authorized Official Name and Position | Grace Fernandez (DIRECTOR) |
Authorized Official Contact | 4154768969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ucsf Sfgh Medical Group Dept Of Oral And Maxillofacial Surgery Po Box 7464 San Francisco CA 94120-7464 Ph: (415) 476-8969 | Ucsf Sfgh Medical Group Dept Of Oral And Maxillofacial Surgery 1001 Potrero Avenue, Bldg 5, Room 1n1 San Francisco CA 94110-3518 Ph: (415) 502-0661 |
NPI Number | 1811475759 |
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Provider Enumeration Date | 08/02/2018 |
Last Update Date | 08/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811475759 | NPI | - | NPPES |
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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