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NPI Provider: 1639174279
Contact Name: Butti Ann Kelly
Position: Office Manager
Phone: (925) 756-7884
A Professional Dental Corp. Information:
A Professional Dental Corp. organization have npi 1639174279, taxonomy code is 1223P0300X with license number is 40072 in . This Business address located in 3505 Lone Tree Way, Antioch, CA 94509 California. Get directions of A Professional Dental Corp..
Practice Location
Address: 3505 Lone Tree Way, Antioch, CA 94509
Phone: (925) 756-7884
Business Location
Address: 3505 Lone Tree Way, Antioch, CA 94509
Phone: (925) 756-7884
Fax: (925) 756-7894
Taxonomy
Taxonomy Code: 1223P0300X
License Number: 40072
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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