Provider Demographics
NPI:1437704244
Name:INNA ROSTKER, DDS A PC
Entity type:Organization
Organization Name:INNA ROSTKER, DDS A PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSTKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-795-1881
Mailing Address - Street 1:109 STEVENSON STREET SUITE 200
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105
Mailing Address - Country:US
Mailing Address - Phone:415-795-1881
Mailing Address - Fax:415-795-3600
Practice Address - Street 1:109 STEVENSON STREET SUITE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105
Practice Address - Country:US
Practice Address - Phone:415-795-1881
Practice Address - Fax:415-795-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty