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Organization
UCSF ORAL MEDICINE CLINIC
Active
Organization
UCSF ORAL MEDICINE CLINIC
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MICHAEL REDDY (DDS DEAN)
(415) 476-2045
Entity
Organization
Contact information
Practice address
513 PARNASSUS AVE, SUITE S-722, SAN FRANCISCO, CA 94143-2206
(415) 476-2045
(415) 514-2862
Mailing address
513 PARNASSUS AVE, SUITE S-722, BOX 0422, SAN FRANCISCO, CA 94143-2206
(415) 476-2045
(415) 514-2862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002
CA
Other
Enumeration date
11/07/2006
Last updated
04/09/2019
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