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1174853683
ROGER F HENNESSEY
SAN JOSE, CA
NPI
1174853683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 55813)
Enumeration Date
2010-01-05
Last Update Date
2010-01-05
Business Address
Dr. ROGER F HENNESSEY D.M.D.
7174 SANTA TERESA BLVD A5
SAN JOSE, CA 95139-1350
Phone number: 408-578-0252
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Mailing Address
Dr. ROGER F HENNESSEY D.M.D.
7174 SANTA TERESA BLVD A5
SAN JOSE, CA 95139-1350
Phone number: 408-578-0252
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