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1184838294
BRIAN ANTHONY HENNESSY
SAN RAFAEL, CA
NPI
1184838294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29059)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Dr. BRIAN ANTHONY HENNESSY D.D.S.
912 GRAND AVE SUITE 101
SAN RAFAEL, CA 94901-3563
Phone number: 415-453-3842
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Mailing Address
Dr. BRIAN ANTHONY HENNESSY D.D.S.
912 GRAND AVE SUITE 101
SAN RAFAEL, CA 94901-3563
Phone number: 415-453-3842
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