Organization
UCSF ORAL SURGERY CL. #20-3
Active
Other names
UCSF Orofacial Center
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
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143
(415) 476-1316
(415) 476-8999
Mailing address
707 PARNASSUS AVE, BOX 0756, SAN FRANCISCO, CA 94143
(415) 476-1316
(415) 476-8999
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
—
GR0041992
—
CA
Enumeration date
11/02/2006
Last updated
09/21/2009
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