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Organization
POOL & CREIGHTON DENTAL CORPORATION
Active
Organization
POOL & CREIGHTON DENTAL CORPORATION
Active
Other names
Washington Square Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED WARREN POOL D.D.S. (PRESIDENT)
(415) 891-9773
Entity
Organization
Contact information
Practice address
1719 POWELL ST, SAN FRANCISCO, CA 94133-2808
(415) 891-9773
(415) 398-4123
Mailing address
1719 POWELL ST, SAN FRANCISCO, CA 94133-2808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58832
CA
Other
Enumeration date
02/14/2012
Last updated
03/09/2012
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