Individual provider · Type 1 NPI

Renie Ikeda, DDS

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1780937367 Active

Practice location

707 Parnassus Ave, Ucsf Orthodontics D-3000
San Francisco, CA 94143-2210

Call (415) 476-2841 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780937367

Renie Ikeda, DDS's National Provider Identifier is 1780937367, issued on Oct 19, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Oct 19, 2012.