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Organization

UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4

Active
Other names
UCSF SFGH Maxillofacial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN FEATHERSTONE PHD (INTERIM DEAN)
(415) 476-8997
Entity
Organization

Contact information

Practice address
1001 POTRERO AVE, ROOM 1N1, SAN FRANCISCO, CA 94110-3518
(415) 206-6128
(415) 502-0817
Mailing address
1001 POTRERO AVE, ROOM 1N1, SAN FRANCISCO, CA 94110-3518
(415) 206-6128
(415) 502-0817

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0041991
CA
Enumeration date
11/02/2006
Last updated
07/07/2008
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