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Organization
FOLSOM DENTAL GROUP
Active
Organization
FOLSOM DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAULIO ULLOA DDS (GENERAL DENTIST)
(415) 400-5115
Entity
Organization
Contact information
Practice address
3085 24TH ST STE 202, SAN FRANCISCO, CA 94110-4147
(415) 525-3371
Mailing address
3085 24TH ST STE 202, SAN FRANCISCO, CA 94110-4147
(415) 525-3371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
100311
CA
1223G0001X
General Practice Dentistry
101455
CA
1223G0001X
General Practice Dentistry
Primary
47673
CA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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