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Organization
UCSF HOSPITAL DENTISTRY-GPR
Active
Organization
UCSF HOSPITAL DENTISTRY-GPR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL REDDY DMD, DMSC (DEAN, SCHOOL OF DENTISTRY)
(415) 476-1323
Entity
Organization
Contact information
Practice address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-5718
(415) 476-8229
(415) 502-6489
Mailing address
707 PARNASSUS AVE, BOX 5718, SAN FRANCISCO, CA 94143-5718
(415) 476-8229
(415) 502-6489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9349201
—
CA
Enumeration date
11/02/2006
Last updated
11/05/2019
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