James E. Fitzgerald, Dds Inc | |
100 Old County Road Ste 100b Brisbane CA 94005 | |
(415) 468-5353 | |
Not Available |
Full Name | James E. Fitzgerald, Dds Inc |
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Speciality | Clinic/center - Dental |
Location | 100 Old County Road, Brisbane, California |
Authorized Official Name and Position | James E Fitzgerald (PRESIDENT) |
Authorized Official Contact | 4154685353 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James E. Fitzgerald, Dds Inc 100 Old County Road Ste 100b Brisbane CA 94005 Ph: (415) 468-5353 | James E. Fitzgerald, Dds Inc 100 Old County Road Ste 100b Brisbane CA 94005 Ph: (415) 468-5353 |
NPI Number | 1588874028 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1588874028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 29148 (California) | Primary |