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Organization
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL,OF DENTISTRY
Active
Organization
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL,OF DENTISTRY
Active
Parent organization
UNIVERSITY OF THE PACIFIC
Other names
FACULTY DENTAL SERVICE GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF THE PACIFIC
Authorized official
ED PEGUEROS (ASST DEAN, BUDGET & FIN ADMIN)
(415) 351-7192
Entity
Organization
Contact information
Practice address
155 5TH ST, STE 2P, SAN FRANCISCO, CA 94103-2919
(415) 929-6524
Mailing address
155 5TH ST, STE 2P, SAN FRANCISCO, CA 94103-2919
(415) 929-6524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
11/13/2014
Last updated
07/22/2020
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