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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 Community Dental Center Clinic #8
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
(415) 476-0408
Mailing address
100 BUCHANAN ST, SAN FRANCISCO, CA 94102-6147
(415) 476-5608
(415) 476-0408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2032
CA
1223G0001X
General Practice Dentistry
2090
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2101
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0115601
DENTICAL
CA
Enumeration date
10/02/2006
Last updated
11/05/2019
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