| NPI | 1609428275 |
|---|---|
| Other Name | UNIVERSITY PROJECT MAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | ED PEGUEROS Asst Dean, Budget & Fin Admin, AO 415-351-7192 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |