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6332 Geary Blvd San Francisco CA 94121-1824 | |
| (415) 668-0680 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6332 Geary Blvd, San Francisco, California |
| Authorized Official Name and Position | Rosa Mathai (DENTIST) |
| Authorized Official Contact | 4156680680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6332 Geary Blvd San Francisco CA 94121-1824 Ph: (415) 668-0680 | 6332 Geary Blvd San Francisco CA 94121-1824 Ph: (415) 668-0680 |
| NPI Number | 1275358129 |
|---|---|
| Provider Enumeration Date | 11/16/2024 |
| Last Update Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275358129 | NPI | - | NPPES |
| 62602 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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