Organization
CHARLES C. NIP, D.D.S., INC
Active
Other names
SOUTH VAN NESS DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C. NIP D.D.S. (OWNER)
(415) 431-9797
Entity
Organization
Contact information
Practice address
240 SHOTWELL ST, SUITE 230, SAN FRANCISCO, CA 94110-1323
(415) 431-9797
(415) 431-9799
Mailing address
240 SHOTWELL ST, SUITE 230, SAN FRANCISCO, CA 94110-1323
(415) 431-9797
(415) 431-9799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20241
CA
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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