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Organization
WEST PORTAL DENTAL CARE
Active
Organization
WEST PORTAL DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETA RAMAIYA (OFFICE MANAGER)
(415) 681-3171
Entity
Organization
Contact information
Practice address
48 VICENTE ST, SAN FRANCISCO, CA 94127-1336
(415) 681-3171
(415) 681-3187
Mailing address
48 VICENTE ST, SAN FRANCISCO, CA 94127-1336
(415) 681-3171
(415) 681-3187
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58018
CA
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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