Individual
CHERYL A WIDDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
450 SUTTER STREET, 2021, SAN FRANCISCO, CA 94108
(415) 981-4960
(415) 981-4963
Mailing address
450 SUTTER ST, 2021, SAN FRANCISCO, CA 94108-4206
(415) 981-4960
(415) 981-4963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34259
CA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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