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Organization
UCSF BUCHANAN COMMUNITY DENTAL CENTER CL #8
Active
Organization
UCSF BUCHANAN COMMUNITY DENTAL CENTER CL #8
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other names
UCSF Buchanan University Project
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. MICHAEL REDDY DMD,DMSC (DEAN, SCHOOL OF DENTISTRY)
(415) 476-1323
Entity
Organization
Contact information
Practice address
100 BUCHANAN ST, SAN FRANCISCO, CA 94102-6147
(415) 476-5608
Mailing address
100 BUCHANAN ST, SAN FRANCISCO, CA 94102-6147
(416) 476-5608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0115601
DENTI-CAL
CA
Enumeration date
06/13/2019
Last updated
11/05/2019
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