Healthcare Provider Details

I. General information

NPI: 1700042272
Provider Name (Legal Business Name): ANNA L. SAENZ D.D.S. F.A.G.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CALIFORNIA ST SUITE 805
SAN FRANCISCO CA
94111-4396
US

IV. Provider business mailing address

260 CALIFORNIA ST SUITE 805
SAN FRANCISCO CA
94111-4396
US

V. Phone/Fax

Practice location:
  • Phone: 415-433-6825
  • Fax: 415-956-4402
Mailing address:
  • Phone: 415-433-6825
  • Fax: 415-956-4402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number29099
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: