Individual
CLARA MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
760 LA PLAYA ST, SAN FRANCISCO, CA 94121-3262
(415) 221-5592
(415) 221-8826
Mailing address
760 LA PLAYA ST, SAN FRANCISCO, CA 94121-3262
(415) 221-5592
(415) 221-8826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34285
DENTAL LICENSE NUMBER
CA
Enumeration date
08/03/2006
Last updated
07/08/2007
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