MEDICARE: KARKAR DENTAL GROUP P.C.

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

General Provider Information

NPI Number	:	1710498274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARKAR DENTAL GROUP P.C.

Provider Business Mailing Address
First Line	:	2172 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-1247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2172 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-1247
Country	:	US
Telephone Number	:	415-872-0915
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ISSA GEORGE KARKAR
Credential	:
Telephone Number	:	415-872-0915

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	10/23/2017

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