| NPI | 1992874960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES N BERTOLAMI Dean 415-476-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: CA 220000091) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 220000091) |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 220000091) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 220000091) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 220000091) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: CA 220000091) | |
| 207N00000X Dermatology (Licence: CA 220000091) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 220000091) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 220000091) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |