Organization
UCSF ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D FEATHERSTONE PHD (INTERIM DEAN)
(415) 476-8997
Entity
Organization
Contact information
Practice address
513 PARNASSUS AVE, BOX 0476, SAN FRANCISCO, CA 94143-2205
(415) 476-3242
(415) 476-0665
Mailing address
513 PARNASSUS AVE, BOX 0476, SAN FRANCISCO, CA 94143-2205
(415) 476-3242
(415) 476-0665
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0041990
—
CA
Enumeration date
11/02/2006
Last updated
10/16/2008
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