DANIEL AUTENCIO MABAET

VALLEJO, CA
NPI1376021394
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  102760)
Enumeration Date2018-08-01
Last Update Date2018-08-01
Business Address
Dr. DANIEL AUTENCIO MABAET DENTIST
285 MARE ISLAND WAY
VALLEJO, CA 94590-9459
Phone number: 707-552-2228
Mailing Address
Dr. DANIEL AUTENCIO MABAET DENTIST
285 MARE ISLAND WAY
VALLEJO, CA 94590-5897
Phone number: 707-552-2228
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