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Organization

UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY

Active
Parent organization
UNIVERSITY OF THE PACIFIC
Other names
Pacific Virtual Dental Home Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF THE PACIFIC
Authorized official
ED PEGUEROS (ASST DEAN, BUDGET & FIN ADMIN)
(415) 351-7192
Entity
Organization

Contact information

Practice address
155 5TH ST STE 4VD, VIRTUAL DENTAL HOME CLINIC, SAN FRANCISCO, CA 94103-2919
(415) 749-3324
Mailing address
155 5TH ST STE 4VD, VIRTUAL DENTAL HOME CLINIC, SAN FRANCISCO, CA 94103-2919
(415) 749-3324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223D0001X
Public Health Dentistry
Primary
124Q00000X
Dental Hygienist

Other

Enumeration date
02/15/2016
Last updated
07/22/2020
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