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Organization
UCSF SCHOOL OF DENTISTRY CLINIC NO. 1
Active
Organization
UCSF SCHOOL OF DENTISTRY CLINIC NO. 1
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other names
UCSF Predoctoral University Project
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
707 PARNASSUS AVE # D-2000, SAN FRANCISCO, CA 94143-2210
(415) 476-5747
(415) 476-6110
Mailing address
707 PARNASSUS AVENUE D1130, BOX 0752, SAN FRANCISCO, CA 94143-2210
(415) 476-5747
(415) 476-6110
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528151529
DENTI-CAL
CA
01
—
U01002-01
DENTI-CAL UNIVERSITY PROJECT
CA
Enumeration date
06/12/2019
Last updated
11/05/2019
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