Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Bruno Ave Dental Clinic Corp

Organization General Practice Dentistry · NPI 1639228950

San Bruno Ave Dental Clinic Corp is a General Practice Dentistry in San Francisco, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2817 San Bruno Ave
San Francisco, CA 94134-1510
Phone: (415) 656-2868
Fax: (415) 656-2865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence B37744 (CA)

Record details

NPI number1639228950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Tin — Senior Dentist · (415) 656-2868
NPI enumeratedJanuary 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2817 San Bruno Ave, San Francisco, CA 94134-1510

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