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General NPI Number Information
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NPI Number | 1528549730
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Entity Type | Individual
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Provider Name | ALISON FISHMAN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 08/25/2018
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Provider Practice Location Address
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Address Line | 160 BOVET RD STE 307
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City | SAN MATEO
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State | CA
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Zip | 94402-3138
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Country | US
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Telephone | 650-630-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 100 VAN NESS AVE APT 1603
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5223
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Country | US
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Telephone | 214-263-8440
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 102329
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License Number State | CA
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