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1053460121
DAVID THOMAS FOSDAHL
CASTRO VALLEY, CA
NPI
1053460121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 031783)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
Dr. DAVID THOMAS FOSDAHL DDS
20600 LAKE CHABOT RD SUITE 101
CASTRO VALLEY, CA 94546
Phone number: 510-582-8399
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Mailing Address
Dr. DAVID THOMAS FOSDAHL DDS
20600 LAKE CHABOT RD SUITE 101
CASTRO VALLEY, CA 94546
Phone number: 510-582-8399
Copy
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