Individual
VIRGINIA CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2445 CLEMENT ST, SAN FRANCISCO, CA 94121
(415) 668-0600
Mailing address
2448 CLAY ST, SAN FRANCISCO, CA 94115-1809
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
46682
CA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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