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1730245903
MICHAEL JOHN SCIANAMBLO
SAN RAFAEL, CA
NPI
1730245903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: CA 27065)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOHN SCIANAMBLO DDS
1526 5TH AVE
SAN RAFAEL, CA 94901-1852
Phone number: 415-457-3002
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Mailing Address
-- MICHAEL JOHN SCIANAMBLO DDS
1526 5TH AVE
SAN RAFAEL, CA 94901-1852
Phone number: 415-457-3002
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