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1124118914
JOE ALLAN PROVINES
MOUNTAIN VIEW, CA
NPI
1124118914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 20440)
Enumeration Date
2006-10-13
Last Update Date
2016-04-04
Business Address
Dr. JOE ALLAN PROVINES D.M.D.
105 SOUTH DR SUITE 200
MOUNTAIN VIEW, CA 94040-4311
Phone number: 650-964-4867
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Mailing Address
Dr. JOE ALLAN PROVINES D.M.D.
877 W FREMONT AVE STE I2
SUNNYVALE, CA 94087-2319
Phone number: 650-964-4867
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