PACIFIC DENTAL GROUP

SAN RAFAEL, CA
NPI1669802435
Entity TypeOrganization
Authorized ContactCLARK FONG
Owner
415-453-6277
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  40351)
Enumeration Date2013-11-15
Last Update Date2013-11-15
Business Address
PACIFIC DENTAL GROUP
1523 5TH AVE
SAN RAFAEL, CA 94901-1806
Phone number: 415-453-6277
Mailing Address
PACIFIC DENTAL GROUP
1523 5TH AVE
SAN RAFAEL, CA 94901-1806
Phone number: 415-453-6277
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