THEODORE ROBERT SMALL

BERKELEY, CA
NPI1497112338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  140487-9922)
Enumeration Date2016-01-22
Last Update Date2016-01-22
Business Address
-- THEODORE ROBERT SMALL DDS
1301 BONITA AVE APT 4
BERKELEY, CA 94709-1983
Phone number: 510-559-9097
Mailing Address
-- THEODORE ROBERT SMALL DDS
1301 BONITA AVE APT 4
BERKELEY, CA 94709-1983
Phone number: 510-559-9097
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