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Organization
MAGIC TOOTH BUS
Active
Organization
MAGIC TOOTH BUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MA KRISELDA NERY SAYOC DMD (DENTIST/ BOARD MEMBER)
(520) 873-8657
Entity
Organization
Contact information
Practice address
39 TREASURE ISLAND RD STE 206, SAN FRANCISCO, CA 94130-1214
(415) 580-2602
Mailing address
39 TREASURE ISLAND RD STE 206, SAN FRANCISCO, CA 94130-1214
(415) 580-2602
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
09/10/2026
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