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Organization

UCSF DENTISTRY SPECIALTY PRACTICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL REDDY DMD,DMSC (DEAN, UCSF SCHOOL OF DENTISTRY)
(415) 476-1323
Entity
Organization

Contact information

Practice address
110 PARK PLACE, SUITE 150, SAN MATEO, CA 94403
(415) 476-1323
Mailing address
110 PARK PLACE, SUITE 150, SAN MATEO, CA 94403

Taxonomy

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

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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