Organization
FREDRIC R WARREN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRIC R WARREN D.D.S., M.S.D. (PRESIDENT, ORTHODONTIST)
(415) 681-2418
Entity
Organization
Contact information
Practice address
15 W PORTAL AVE, SAN FRANCISCO, CA 94127-1303
(415) 681-2418
Mailing address
15 W PORTAL AVE, SAN FRANCISCO, CA 94127-1303
(415) 681-2418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D29865
CA
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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