Provider First Line Business Practice Location Address:
707 PARNASSUS AVE
Provider Second Line Business Practice Location Address:
SCHOOL OF DENTISTRY, FACULTY PRACTICE-PGPROST
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-2210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-502-7320
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2007