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1770885493
MICHAEL SIMONTACCHI-GBOLOGAH
ALAMEDA, CA
NPI
1770885493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 59845)
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
Dr. MICHAEL SIMONTACCHI-GBOLOGAH DMD
1305 UNION ST.
ALAMEDA, CA 94501
Phone number: 202-213-6080
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Mailing Address
Dr. MICHAEL SIMONTACCHI-GBOLOGAH DMD
1305 UNION ST.
ALAMEDA, CA 94501
Phone number:
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