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Organization
UCSF FACULTY GROUP DENTAL PRACTICE
Active
Organization
UCSF FACULTY GROUP DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BERTOLAMI DDS (DEAN, SCHOOL OF DENTISTRY)
(415) 476-1323
Entity
Organization
Contact information
Practice address
707 PARNASSUS AVE, SUITE D4000, SAN FRANCISCO, CA 94143-2210
(415) 476-3028
(415) 502-8399
Mailing address
707 PARNASSUS AVE, SUITE D4000, SAN FRANCISCO, CA 94143-2210
(415) 476-3028
(415) 502-8399
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065
DELTA DENTAL
CA
Enumeration date
10/16/2006
Last updated
09/11/2025
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