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Dentist
Prosthodontist in Fremont, California
NPI 1588030480

Dentist is a Prosthodontist based in Fremont, CA and is specialized in Prosthodontics. Dentist practices in Fremont, CA. The NPI Number for Dentist is 1588030480 and holds a License No. 61629 (California).

The current practice location address for Dentist is 39038 Sutter Dr, Fremont, CA and can be reached out via phone at 510-709-7181. You can also correspond with Dentist through the mailing address at 39038 SUTTER DR, FREMONT, CA - 94538-1141 (mailing address contact number: ).

Location: 39038 Sutter Dr, Fremont, CA, 94538-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588030480
Provider Name
Dentist
Credential
Provider Entity Type
Organization
Address
39038 Sutter Dr, Fremont, CA, 94538-1141
Phone Number
510-709-7181
Fax Number
Provider Enumeration Date
08/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
39038 Sutter Dr
City
Fremont
State
California
Zip
94538-1141
Phone Number
510-709-7181
Fax Number
person
Provider Business Mailing Address Details
Address
39038 Sutter Dr
City
Fremont
State
California
Zip
94538-1141
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
61629 (California)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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