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1215977210
DANIEL VINCENT CLEVENGER
SAN MATEO, CA
NPI
1215977210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 35701)
Enumeration Date
2006-06-07
Last Update Date
2019-10-24
Business Address
Dr. DANIEL VINCENT CLEVENGER DDS
675 MARINERS ISLAND BLVD #105
SAN MATEO, CA 94404
Phone number: 650-345-5711
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Mailing Address
Dr. DANIEL VINCENT CLEVENGER DDS
675 MARINERS ISLAND BLVD #105
SAN MATEO, CA 94404
Phone number: 650-345-5711
Copy
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