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Organization

UNIVERSITY OF THE PACIFIC

Active
Parent organization
UNIVERSITY OF THE PACIFIC
Other names
Dugoni School of Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF THE PACIFIC
Authorized official
DR. NADER NADERSHAHI DDS (DEAN)
(415) 929-6400
Entity
Organization

Contact information

Practice address
142 ALHAMBRA ST, SAN FRANCISCO, CA 94123-2004
(415) 614-2612
(415) 614-2612
Mailing address
142 ALHAMBRA ST, SAN FRANCISCO, CA 94123-2004
(415) 614-2612
(415) 614-2612

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15309
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15309
STATE LICENSE NUMBER
CA
Enumeration date
03/08/2016
Last updated
03/08/2016
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