Organization
UCSF PERIODONTAL SPECIALTY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BERTOLAMI DDS (DEAN)
(415) 476-1323
Entity
Organization
Contact information
Practice address
707 PARNASSUS AVE, D-3013, SAN FRANCISCO, CA 94143-2210
(415) 476-1634
(415) 476-1563
Mailing address
707 PARNASSUS AVE, D-3013, SAN FRANCISCO, CA 94143-2210
(415) 476-1634
(415) 476-1563
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2087
CA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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