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Organization
MITCHELL J. BILAFER DENTAL CORP.
Active
Organization
MITCHELL J. BILAFER DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS J. NOGUEIRO (OWNER)
(415) 824-2713
Entity
Organization
Contact information
Practice address
2484 MISSION ST., SAN FRANCISCO, CA 94110
(415) 824-2713
(415) 824-2716
Mailing address
2484 MISSION ST., SAN FRANCISCO, CA 94110
(415) 824-2713
(415) 824-2716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G91192-01
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/08/2007
Last updated
08/22/2020
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