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
Fax: (415) 614-9881
Website:
Authorized official contact:
Name: Santos-Berkowitz, Cecila Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881884930 NPPES
California Other 53490 PERIODONTIST
California Other 43656 PERIODONTIST

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