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Organization
INNOVATIVE DENTAL CARE
Active
Organization
INNOVATIVE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER VILDERMAN DDS (DENTIST/OWNER)
(415) 500-2116
Entity
Organization
Contact information
Practice address
1600 WEBSTER ST # C, SAN FRANCISCO, CA 94115-3276
(415) 500-2116
(415) 500-2316
Mailing address
1600 WEBSTER ST # C, SAN FRANCISCO, CA 94115-3276
(415) 500-2116
(415) 500-2316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40753
CA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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