Charles Jay Dahlman O.D.

NPI 1841342953 - Optometrist - 152W00000X

NPI Details
NPI 1841342953
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1033 3RD ST
EYE DEPARTMENT
SAN RAFAEL CA, 94901-3107, US
Phone (415) 482-6812
Fax
Business Location
50 CRESTA DR APT 9
SAN RAFAEL CA, 94903-5555, US
Phone (415) 479-8192
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 8447T
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According to our database, Dr. Charles Jay Dahlman O.D. NPI is 1841342953, taxonomy code is 152W00000X and license number is 8447T, license state is located at California. Charles Jay Dahlman O.D. physically located at 1033 3rd St, San Rafael CA, 94901-3107. NPI Number Charles Jay Dahlman O.D. has the Individual type.

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1841342953 NPI number is provided on an as is basis without warranty of any kind. 1841342953 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Jay Dahlman O.D. are for informational purposes only.