Provider Demographics
NPI:1336475250
Name:OVIEDO, CHRISTOPHER JON (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JON
Last Name:OVIEDO
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:380 20TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2221
Mailing Address - Country:US
Mailing Address - Phone:415-203-6875
Mailing Address - Fax:415-752-8333
Practice Address - Street 1:380 20TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2221
Practice Address - Country:US
Practice Address - Phone:415-203-6875
Practice Address - Fax:415-752-8333
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2023-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA586391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics