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Organization

POTRERO HILL DENTAL

Active
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Organization

POTRERO HILL DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY LY DDS (CO-OWNER/DENTIST)
(415) 890-4449
Entity
Organization

Contact information

Practice address
698 VERMONT ST, SAN FRANCISCO, CA 94107-2636
(415) 890-4449
Mailing address
698 VERMONT ST, SAN FRANCISCO, CA 94107-2636
(415) 890-4449

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60629
CA
122300000X
Dentist
61714
CA
1223E0200X
Endodontics
59294
CA

Other

Enumeration date
09/12/2015
Last updated
09/12/2015
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