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General Practice Dentistry

NPI: 1144501123Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

59708(CA)

Contact & Hours

Address: 4075 MOWRY AVE
FREMONT, CA 94538
Phone: (510) 744-0844

Quick Facts

NPI: 1144501123
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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