Individual
DR. AI B. STREACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2155 WEBSTER ST, C 29, SAN FRANCISCO, CA 94115-2333
(415) 929-6613
Mailing address
2155 WEBSTER ST, SUITE C 29, SAN FRANCISCO, CALIFORNIA 94115
(415) 517-8643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28392
CA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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