Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

San Bruno Ave Dental Clinic Corp

Organization General Practice Dentistry · NPI 1639228950

San Bruno Ave Dental Clinic Corp provides 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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