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Organization

UCSF PERIODONTAL SPECIALTY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN FEATHERSTONE DDS (DEAN)
(415) 476-1323
Entity
Organization

Contact information

Practice address
707 PARNASSUS AVE, ROOM D-3013, SAN FRANCISCO, CA 94143-0762
(415) 476-1634
(415) 476-1563
Mailing address
707 PARNASSUS AVE, ROOM D-3013, SAN FRANCISCO, CA 94143-0762
(415) 476-1634
(415) 476-1563

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2087
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2087
DELTA DENTAL
CA
Enumeration date
11/17/2006
Last updated
03/12/2014
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