Michael Gerald Dab D.D.S.

NPI 1063416311 - Dentist - 1223G0001X

NPI Details
NPI 1063416311
Gender Male
Enumeration Date 06/01/2005
Last Updated 01/01/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
750 LAS GALLINAS AVE
STE 111
SAN RAFAEL CA, 94903-3431, US
Phone (415) 472-5211
Fax (415) 472-1046
Business Location
750 LAS GALLINAS AVE
STE 111
SAN RAFAEL CA, 94903-3431, US
Phone (415) 472-5211
Fax (415) 472-1046
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 29251
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According to our database, Dr. Michael Gerald Dab D.D.S. NPI is 1063416311, taxonomy code is 1223G0001X and license number is 29251, license state is located at California. Michael Gerald Dab D.D.S. physically located at 750 Las Gallinas Ave, San Rafael CA, 94903-3431. NPI Number Michael Gerald Dab D.D.S. has the Individual type.

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1063416311 NPI number is provided on an as is basis without warranty of any kind. 1063416311 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Gerald Dab D.D.S. are for informational purposes only.