| West Portal Dental Care | |
|
48 Vicente St San Francisco CA 94127-1336 | |
| (415) 681-3171 | |
| (415) 681-3187 |
| Full Name | West Portal Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 48 Vicente St, San Francisco, California |
| Authorized Official Name and Position | Geeta Ramaiya (OFFICE MANAGER) |
| Authorized Official Contact | 4156813171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Portal Dental Care 48 Vicente St San Francisco CA 94127-1336 Ph: (415) 681-3171 | West Portal Dental Care 48 Vicente St San Francisco CA 94127-1336 Ph: (415) 681-3171 |
| NPI Number | 1013421734 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 11/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013421734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 58018 (California) | Primary |
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