Individual
BRENT C ORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
490 POST ST STE 412, SAN FRANCISCO, CA 94102-1405
(415) 956-6667
Mailing address
490 POST ST STE 412, SAN FRANCISCO, CA 94102-1405
(415) 956-6667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34808
CA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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