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Organization
JULIA A. HALLISY D.D.S., INC.
Active
Organization
JULIA A. HALLISY D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA ANN HALLISY DDS (OWNER DENTIST)
(415) 385-5869
Entity
Organization
Contact information
Practice address
345 W PORTAL AVE STE 210, SAN FRANCISCO, CA 94127-1429
(415) 681-1011
Mailing address
345 W PORTAL AVE STE 210, SAN FRANCISCO, CA 94127-1429
(415) 681-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36659
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
08/21/2018
Last updated
08/21/2018
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