Organization
UCSF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RYDER DDS (PROF AND CHAIR OF PERIODONTOLOGY)
(415) 476-1699
Entity
Organization
Contact information
Practice address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2210
(415) 476-2563
Mailing address
BOX 0762 707 PARNASSUS AVE, SAN FRANCISCO, CA 94143
(415) 476-2563
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
63779
CA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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