| 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 |