Abhilasha Bal, DDS
Individual provider Active NPI General Practice Dentistry · San Francisco, CA
NPI 1992350466 · NPPES record last updated Apr 12, 2021
Key facts
- NPI
- 1992350466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 104143 (CA)
- Practice address
- 3532 20TH St
San Francisco, CA 94110-2419 - Phone
- (415) 643-6424
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104143 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abhilasha Bal, D.D.S., Inc. | Current |
Accepting new patients | |
| Abhilasha Bal Dental Corporation | Current |
Accepting new patients | |
| Riao-Luque Dental Corp | General Practice | Past |
Accepting new patients |
Locations
3532 20th St
San Francisco, CA 94110
Phone (415) 573-5182
2299 Post St
Ste 101
San Francisco, CA 94115
Phone (415) 346-4488
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104143 | CA | Yes |
Addresses
Primary practice location
3532 20TH St
San Francisco, CA 94110-2419
Mailing address
3532 20TH St
San Francisco, CA 94110-2419
Other practice location 1
1321 S Eliseo Dr
Greenbrae, CA 94904-2024
Phone (415) 461-8735
Other providers in San Francisco, CA
- Sheila Bakhtegan
- Jane Elizabeth Bakhter
- Cyndi Bakir
- Marit Bakken
- Vinela Bakllamaja
- Amanat Bal
- Emmapreet Bal
- Michael Bala
- Shashi Bala
- Celeste Balaban
All providers in San Francisco, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.