Organization
IDA GORSHTEYN, DDS, MS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA GORSHTEYN DDS, MS (OWNER)
(408) 438-7332
Entity
Organization
Contact information
Practice address
2445 CLEMENT ST, SAN FRANCISCO, CA 94121-1921
(415) 668-0600
Mailing address
283 PARKER AVE APT C, SAN FRANCISCO, CA 94118-3365
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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