Organization
ROSA MATHAI DMD, INC
Active
Other names
Lands End Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA MATHAI DMD (DENTIST)
(415) 668-0680
Entity
Organization
Contact information
Practice address
6332 GEARY BLVD, SAN FRANCISCO, CA 94121-1824
(415) 668-0680
Mailing address
6332 GEARY BLVD, SAN FRANCISCO, CA 94121-1824
(415) 668-0680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62602
DENTAL LICENSE
CA
Enumeration date
11/16/2024
Last updated
01/08/2025
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