| NPI | 1073693057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BERTOLAMI Dean, School Of Dentistry 415-476-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-09-11 |