Oral Pathology Laboratory Ucsf School of Dentistry
NPI #1336101583 in San Francisco, California
Provider Information
- NPI Number
- 1336101583
- Entity Type
- Organization
- Organization Name
- Oral Pathology Laboratory Ucsf School of Dentistry
- Primary Specialty
- Dental Laboratory
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Nov 16, 2009
Practice Location
- Address
- 513 PARNASSUS AVE
- City
- San Francisco
- State
- California
- ZIP Code
- 94143-2205
- Phone
- (415) 476-4868
Authorized Official
- Name
- RICHARD C.K. JORDAN, DDS
- Title
- PRESIDENT
- Phone
- (415) 476-4868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Laboratory |
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