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513 Parnassus Avenue, Room S741 San Francisco CA 94143-2205 | |
| (415) 476-1316 | |
| (415) 476-6110 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 513 Parnassus Avenue,, San Francisco, California |
| Authorized Official Name and Position | Rijuta A Dhere (DIRECTOR OF DENTAL CLINICS) |
| Authorized Official Contact | 9258956533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1825 4th St Fl 5 San Francisco CA 94143-2350 Ph: (415) 476-9800 | 513 Parnassus Avenue, Room S741 San Francisco CA 94143-2205 Ph: (415) 476-1316 |
| NPI Number | 1073082079 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073082079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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