NPI | 1912090945 |
---|---|
Doing Business As | UCSF BUCHANAN COMMUNITY DENTAL CENTER CLINIC #8 |
Entity Type | Organization |
Authorized Contact | MICHAEL REDDY Dean, School Of Dentistry 415-476-1323 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 2032) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 2090) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 2101) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 2076) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2019-11-05 |