Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 23263 | CA |
NPI | 1760528236 |
---|---|
Provider Name | Dr. Howard Franklin Pollick |
First Address | Berkeley, CA 94703-1318 |
Second Address | San Francisco, CA 94143-2210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 29/07/2016 |