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General NPI Number Information
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NPI Number | 1649002205
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 275 BLOMQUIST ST.
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City | REDWOOD CITY
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State | CA
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Zip | 94603
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Country | US
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Telephone | 650-385-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 155 5TH ST # 419
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2919
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Country | US
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Telephone | 415-351-7157
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Fax |
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Authorized Official
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Title or Position | ASSOC. DEAN OF BUDGET & FINANCIAL
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Name | ED PEGUEROS
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Credential |
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Telephone | 415-351-7192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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