# UNIVERSITY OF THE PACIFIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF THE PACIFIC
- **Other names:** Arthur A. Dugoni School of Dentistry OMFS Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508294927
- **Legal business name:** UNIVERSITY OF THE PACIFIC
- **Authorized official:** MR. ED PEGUEROS (ASSOC DEAN, BUDGET & FIN ADMIN, AO)
- **Authorized official phone:** (415) 351-7192

## Contact information

- **Practice address:** 155 5TH ST, OFMSC SUITE 3F, SAN FRANCISCO, CA 94103-2919
- **Practice address phone:** (415) 929-6617
- **Practice address fax:** (415) 794-3305
- **Mailing address:** 155 5TH ST STE 3F, SAN FRANCISCO, CA 94103-2919
- **Mailing address phone:** (415) 929-6617
- **Mailing address fax:** (415) 794-3305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | CA | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/22/2013
- **Last updated:** 12/01/2022