Irena Vaksman DDS

NPI 1114017977 - Dentist - 1223G0001X

NPI Details
NPI 1114017977
Gender Female
Enumeration Date 10/13/2006
Last Updated 12/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
450 SUTTER ST RM 2307
SAN FRANCISCO CA, 94108-4209, US
Phone (415) 404-6644
Fax (415) 404-7942
Business Location
450 SUTTER ST RM 2307
SAN FRANCISCO CA, 94108-4209, US
Phone (415) 404-6644
Fax (415) 404-7942
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number 4912
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According to our database, Irena Vaksman DDS NPI is 1114017977, taxonomy code is 1223G0001X and license number is 4912, license state is located at Nevada. Irena Vaksman DDS physically located at 450 Sutter St Rm 2307, San Francisco CA, 94108-4209. NPI Number Irena Vaksman DDS has the Individual type.

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1114017977 NPI number is provided on an as is basis without warranty of any kind. 1114017977 is maintained by the National Plan & Provider Enumeration System. The contents of Irena Vaksman DDS are for informational purposes only.