Individual
MONICA LARA CORDOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
490 POST ST STE 426, SAN FRANCISCO, CA 94102-1411
(415) 362-2402
(415) 362-4134
Mailing address
490 POST ST STE 426, SAN FRANCISCO, CA 94102-1411
(415) 362-2402
(415) 362-4134
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
56928
CA
Other
Enumeration date
04/18/2007
Last updated
12/15/2015
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