Most Relevant Information
Provider Data
| NPI Number: | 1003063918 |
| Provider Name: | EPHRAIM W AKLILU |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 55180 |
Most Important Dates
| Enumeration Date: | 08/21/2008 |
| Last Updated: | 01/24/2012 |
Provider Practice Location
58 W PORTAL AVE # 106
SAN FRANCISCO
CA
941271304
Practice Location Phone/Fax
| Phone: | 5109146903 |
| Fax: |
Provider Mailing Location
58 WEST PORTAL AVENUE # 106
SAN FRANCISCO
CA
941272187
Provider Mailing Phone/Fax
| Phone: | 5109146903 |
| Fax: |