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1629291091
JESSE MICHAEL FA
BRENTWOOD, CA
NPI
1629291091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 55360)
Enumeration Date
2007-04-11
Last Update Date
2020-04-08
Business Address
Dr. JESSE MICHAEL FA D.D.S
2201 BALFOUR RD STE E
BRENTWOOD, CA 94513-4927
Phone number: 925-308-7908
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Mailing Address
Dr. JESSE MICHAEL FA D.D.S
317 WINDMILL CANYON PL
CLAYTON, CA 94517-1904
Phone number: 415-519-5620
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