Pacific Oral Pathology Laboratory
NPI #1093777278 in San Francisco, California
Provider Information
- NPI Number
- 1093777278
- Entity Type
- Organization
- Organization Name
- Pacific Oral Pathology Laboratory
- Primary Specialty
- Dental Laboratory
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Mar 28, 2017
Practice Location
- Address
- 155 5TH ST
- City
- San Francisco
- State
- California
- ZIP Code
- 94103-2919
- Phone
- (415) 929-6572
Authorized Official
- Name
- LEWIS EVERSOLE, DDS
- Title
- PRESIDENT
- Phone
- (415) 929-6572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Laboratory |
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