Individual
DR. JERRY O. HUMENIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 SUTTER ST, SUITE 815, SAN FRANCISCO, CA 94102-1107
(415) 398-3957
Mailing address
500 SUTTER ST, SUITE 815, SAN FRANCISCO, CA 94102-1107
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28332
CA
Other
Enumeration date
07/11/2007
Last updated
01/20/2017
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