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Organization
JUSTIN TIN DDS DENTAL GROUP A PROFESSIONAL CORPORATION
Active
Organization
JUSTIN TIN DDS DENTAL GROUP A PROFESSIONAL CORPORATION
Active
Other names
stannum dental group
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TIN DDS (OWNER)
(415) 218-3866
Entity
Organization
Contact information
Practice address
1636 NORIEGA ST, SAN FRANCISCO, CA 94122-4306
(628) 628-1636
Mailing address
1636 NORIEGA ST, SAN FRANCISCO, CA 94122-4306
(628) 628-1636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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