MEDICARE: TODAY'S DENTISTRY

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
1	1223G0001X	General Practice Dentistry		CA

General Provider Information

NPI Number	:	1629303144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TODAY'S DENTISTRY

Provider Business Mailing Address
First Line	:	4747 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-2729
Country	:	US
Telephone Number	:	415-585-5773
Fax Number	:	415-585-5594

Provider Business Practice Location Address
First Line	:	4747 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-2729
Country	:	US
Telephone Number	:	415-585-5773
Fax Number	:	415-585-5594

Authorized Official
Title or Position	:	CEO
Name	:	DR. KYAW K SOE
Credential	:	DDS
Telephone Number	:	415-585-5773

Provider Enumeration Date	:	10/16/2009
Last Update Date	:	10/16/2009

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Directions to “TODAY'S DENTISTRY ” Practice Location

Language	Start Address	Practice Location

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