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Organization
POSTGRADUATE ENDODONTICS
Active
Organization
POSTGRADUATE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BERTOLAMI DDS (DEAN, SCHOOL OF DENTISTRY)
(415) 476-1323
Entity
Organization
Contact information
Practice address
707 PARNASSUS AVE, SUITE D4000, SAN FRANCISCO, CA 94143-2210
(415) 514-3546
(415) 502-8399
Mailing address
707 PARNASSUS AVE, SUITE D4000, SAN FRANCISCO, CA 94143-2210
(415) 514-3546
(415) 502-8399
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01002-01
DENTI-CAL
CA
Enumeration date
10/25/2006
Last updated
08/14/2008
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