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Individual

DR. MICHAEL A. POGREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
521 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2206
(415) 476-3242
(415) 476-0665
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A52418
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A524180
CA
Enumeration date
04/20/2006
Last updated
07/24/2008
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