Organization
NICHOLAS GOULTAS, DDS, PC
Active
Other names
Island Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS GEORGE GOULTAS JR. DDS, MPH (CEO)
(650) 703-7451
Entity
Organization
Contact information
Practice address
5011 GEARY BLVD STE A, SAN FRANCISCO, CA 94118-2880
(650) 703-7451
Mailing address
1831 POLK ST APT 107, SAN FRANCISCO, CA 94109-3013
(650) 703-7451
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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