NPIRadar

Samuel David Dove, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Alpine, CA

NPI
1477734614
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
29258 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-11-15
Last updated
2007-11-15
Practice location
1620 Alpine Blvd, Suite 121
Alpine, CA 91901-1102
(619) 445-8896

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