Individual
DR. ALDRICH SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
901 CAMPUS DR, STE 204, DALY CITY, CA 94015-4900
(650) 992-7874
Mailing address
901 CAMPUS DR, STE 204, DALY CITY, CA 94015-4900
(650) 992-7874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7847
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60826
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
60826
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A139932
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2009
Last updated
12/20/2016
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