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1669802435
PACIFIC DENTAL GROUP
SAN RAFAEL, CA
NPI
1669802435
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Entity Type
Organization
Authorized Contact
CLARK FONG
Owner
415-453-6277
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 40351)
Enumeration Date
2013-11-15
Last Update Date
2013-11-15
Business Address
PACIFIC DENTAL GROUP
1523 5TH AVE
SAN RAFAEL, CA 94901-1806
Phone number: 415-453-6277
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Mailing Address
PACIFIC DENTAL GROUP
1523 5TH AVE
SAN RAFAEL, CA 94901-1806
Phone number: 415-453-6277
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