San Bruno Ave Dental Clinic Corp

LBN: San Bruno Ave Dental Clinic Corp
San Bruno Ave Dental Clinic Corp is an health care organization with primary practice located at 2817 San Bruno Ave , San Francisco CA 94134-1510. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. San Bruno Ave Dental Clinic Corp can be contacted via phone (415) 656-2868, or through Tin, Justin via phone (415) 656-2868.

Contact Information

Primary practice address
2817 San Bruno Ave San Francisco CA 94134-1510
Phone: (415) 656-2868
Fax: (415) 656-2865
Website:
Map and Directions
Authorized official contact:
Name: Tin, Justin Doctor of Dental Surgery (DDS)
Phone: (415) 656-2868

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X B37744 California

Profile Details

NPI number 1639228950
LBN Legal business name San Bruno Ave Dental Clinic Corp
DBA Doing business as
Authorized official Tin, Justin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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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