Individual
DR. ALISSA BORDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
187 PINE ST, SAN FRANCISCO, CA 94111-5527
(415) 397-4433
Mailing address
2350 UNION ST, APT 11, SAN FRANCISCO, CA 94123-3936
(707) 477-6738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61805
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2011
Last updated
04/08/2013
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