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Organization
NICHOLAS GOULTAS, DDS, PC
Active
Organization
NICHOLAS GOULTAS, DDS, PC
Active
Other names
Island Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS GEORGE GOULTAS JR. DDS, MPH (CEO)
(650) 703-7451
Entity
Organization
Contact information
Practice address
5011 GEARY BLVD STE A, SAN FRANCISCO, CA 94118-2880
(650) 703-7451
Mailing address
1831 POLK ST APT 107, SAN FRANCISCO, CA 94109-3013
(650) 703-7451
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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