NPI 1336101583

Oral Pathology Laboratory UCSF School of Dentistry

Organisation Dental Laboratory San Francisco, CA

Practice location

Address: 513 Parnassus Ave, San Francisco, CA 94143-2205
Phone: (415) 476-4868
Mailing address: PO Box 10076, Van Nuys, CA 91410-0076

Authorised official

Name: Richard C.K. Jordan
Title: President
Phone: (415) 476-4868

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

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Registry record

NPI: 1336101583
Entity type: Organization
NPI issued: 4 Apr 2006
Record last updated: 16 Nov 2009

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.