Ida Gorshteyn, DDS
Dentist, Pediatric Dentistry in San Francisco, CA. Individual provider (NPI-1).
NPI number1982168845
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1982168845
- Entity type
- Individual (NPI-1)
- Name
- Ida Gorshteyn
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2019
- Certification date
- Dec 2, 2021
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DDS104659 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1463 10th Ave Apt 4San Francisco, CA 94122-3665
Phone 408-438-7332
Mailing address
283 Parker Ave Apt CSan Francisco, CA 94118-3365
Phone 408-438-7332
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