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1164625075
ERWIN TAMAYO CARRACEDO
SANTA ROSA, CA
NPI
1164625075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 40417)
Enumeration Date
2007-06-07
Last Update Date
2010-03-29
Business Address
Dr. ERWIN TAMAYO CARRACEDO D.M.D.
1331 GUERNEVILLE RD SUITE G
SANTA ROSA, CA 95403-4162
Phone number: 650-742-9092
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Mailing Address
Dr. ERWIN TAMAYO CARRACEDO D.M.D.
3540 CALLAN BLVD. SUITE 100
SOUTH SAN FRANCISCO, CA 94080
Phone number: 650-742-9092
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