| University Of The Pacific | |
|
155 5th St San Francisco CA 94103-2919 | |
| (415) 749-3324 | |
| Not Available |
| Full Name | University Of The Pacific |
|---|---|
| Speciality | Dentist |
| Location | 155 5th St, San Francisco, California |
| Authorized Official Name and Position | Ed Pegueros (ASSISTANT DEAN OF FISCAL SERVICES) |
| Authorized Official Contact | 4153517192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of The Pacific 155 5th St University Of The Pacific Arthur Dugoni School Of Denti San Francisco CA 94103-2919 Ph: (415) 929-6400 | University Of The Pacific 155 5th St San Francisco CA 94103-2919 Ph: (415) 749-3324 |
| NPI Number | 1215900840 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 03/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215900840 | NPI | - | NPPES |
| G0-1001-01 | Other | CA | DENTI-CAL |
| G0-1001-04 | Other | CA | DENTI-CAL |
| G0-1001-05 | Other | CA | DENTI-CAL |
| G0-1001-02 | Other | CA | DENTI-CAL |
| G0-1001-03 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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