Organization · Type 2 NPI
Nicholas Goultas, Dds, PC
Dental Clinic/Center · San Francisco, CA
NPI number
1790474880
Active
Practice location
5011 Geary Blvd Ste A
San Francisco, CA 94118-2880
Mailing address
1831 Polk St Apt 107
San Francisco, CA 94109-3013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1790474880
Nicholas Goultas, Dds, PC's National Provider Identifier is 1790474880, issued on May 4, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Francisco, CA. The record was last updated on May 4, 2023.