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260 California St Suite 805 San Francisco CA 94111-4396 | |
| (415) 433-6825 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 260 California St, San Francisco, California |
| Authorized Official Name and Position | Wanda S Leong (OWNER) |
| Authorized Official Contact | 4154336825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
260 California St Suite 805 San Francisco CA 94111-4396 Ph: () - | 260 California St Suite 805 San Francisco CA 94111-4396 Ph: (415) 433-6825 |
| NPI Number | 1710284732 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710284732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42174 (California) | Primary |
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