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NPI Code Detail

MEDICARE: DR. LINDA LOUISE ANGIN DDS

MEDICARE:  DR. LINDA LOUISE ANGIN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry28273CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G9275301OTHERCADENTI-CAL

General Provider Information

NPI Number : 1902816804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA LOUISE ANGIN DDS
Provider Business Mailing Address
First Line : 1638 NORIEGA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-4306
Country : US
Telephone Number : 415-731-6796
Fax Number : 415-242-2062
Provider Business Practice Location Address
First Line : 1638 NORIEGA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-4306
Country : US
Telephone Number : 415-731-6796
Fax Number : 415-242-2062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LINDA LOUISE ANGIN DDS” Practice Location

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