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Organization
UNIVERSITY OF THE PACIFIC
Active
Organization
UNIVERSITY OF THE PACIFIC
Active
Parent organization
UNIVERSITY OF THE PACIFIC
Other names
Arthur A. Dugoni School of Dentistry OMFS Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF THE PACIFIC
Authorized official
MR. ED PEGUEROS (ASSOC DEAN, BUDGET & FIN ADMIN, AO)
(415) 351-7192
Entity
Organization
Contact information
Practice address
155 5TH ST, OFMSC SUITE 3F, SAN FRANCISCO, CA 94103-2919
(415) 929-6617
(415) 794-3305
Mailing address
155 5TH ST STE 3F, SAN FRANCISCO, CA 94103-2919
(415) 929-6617
(415) 794-3305
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
10/22/2013
Last updated
12/01/2022
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