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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
Pacific Virtual Dental Home Clinic
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 4VD, VIRTUAL DENTAL HOME CLINIC, SAN FRANCISCO, CA 94103-2919
(415) 749-3324
Mailing address
155 5TH ST STE 4VD, VIRTUAL DENTAL HOME CLINIC, SAN FRANCISCO, CA 94103-2919
(415) 749-3324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
02/15/2016
Last updated
07/22/2020
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