# UCSF FACULTY GRP DENT PRACT & GRAD PROSTHODONTICS CL3

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCSF Prosthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114006061
- **Authorized official:** MICHAEL REDDY (DEAN, SCHOOL OF DENTISTRY)
- **Authorized official phone:** (415) 476-9135

## Contact information

- **Practice address:** 707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-0752
- **Practice address phone:** (415) 502-7320
- **Practice address fax:** (415) 514-3180
- **Mailing address:** 707 PARNASSUS AVE, D4000, SAN FRANCISCO, CA 94143-0758
- **Mailing address phone:** (415) 476-1784
- **Mailing address fax:** (415) 514-3180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 09/20/2018