Individual
IDA GORSHTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1463 10TH AVE APT 4, SAN FRANCISCO, CA 94122-3665
(408) 438-7332
Mailing address
283 PARKER AVE APT C, SAN FRANCISCO, CA 94118-3365
(408) 438-7332
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS104659
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2019
Last updated
12/02/2021
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