Healthcare Provider Details

I. General information

NPI: 1932407046
Provider Name (Legal Business Name): GREGORY CONTE DMD MS AND PAOLA GUGLIELMONI DDS, MS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W PORTAL AVE SUITE 300
SAN FRANCISCO CA
94127-1429
US

IV. Provider business mailing address

345 W PORTAL AVE SUITE 300
SAN FRANCISCO CA
94127-1429
US

V. Phone/Fax

Practice location:
  • Phone: 415-664-4532
  • Fax:
Mailing address:
  • Phone: 415-664-4532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number42657
License Number StateCA

VIII. Authorized Official

Name: DR. PAOLA GUGLIELMONI
Title or Position: PARTNER
Credential: DDS
Phone: 415-664-4532