Fillmore Dental Spa
LBN: Fillmore Dental Spa
Fillmore Dental Spa is an health care organization with primary practice located at 3220 Fillmore St , San Francisco CA 94123-3403. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty.
Fillmore Dental Spa can be contacted via phone (415) 614-9850, or through Santos-Berkowitz, Cecila via phone (415) 614-9850.
Contact Information
Primary practice address
3220 Fillmore St
San Francisco CA 94123-3403
Phone: (415) 614-9850
Fax: (415) 614-9881
Website:
Authorized official contact:
Name: Santos-Berkowitz, Cecila Doctor of Dental Medicine (DMD)
Phone: (415) 614-9850
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 43656 | California |
Dental Providers / Periodontics | 1223P0300X | 43590 | California |
Profile Details
NPI number | 1881884930 |
---|---|
LBN Legal business name | Fillmore Dental Spa |
DBA Doing business as | |
Authorized official | Santos-Berkowitz, Cecila Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 25th, 2007 |
Last updated | Jul 25th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881884930 | NPPES |
California | Other | 53490 | PERIODONTIST |
California | Other | 43656 | PERIODONTIST |
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