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Organization
ROSA MATHAI DMD, INC
Active
Organization
ROSA MATHAI DMD, INC
Active
Other names
Lands End Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA MATHAI DMD (DENTIST)
(415) 668-0680
Entity
Organization
Contact information
Practice address
6332 GEARY BLVD, SAN FRANCISCO, CA 94121-1824
(415) 668-0680
Mailing address
6332 GEARY BLVD, SAN FRANCISCO, CA 94121-1824
(415) 668-0680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62602
DENTAL LICENSE
CA
Enumeration date
11/16/2024
Last updated
01/08/2025
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