NPI 1093777278
Pacific Oral Pathology Laboratory
Practice location
- Address
- 155 5th St, San Francisco, CA 94103-2919
- Phone
- (415) 929-6572
- Mailing address
- PO Box 10076, Van Nuys, CA 91410-0076
Authorised official
- Name
- Lewis Eversole
- Title
- President
- Phone
- (415) 929-6572
Registered specialties
Dental Laboratory
Primary
Registry record
- NPI
- 1093777278
- Entity type
- Organization
- NPI issued
- 4 Apr 2006
- Record last updated
- 28 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.