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Organization
MISSION PEAK DENTAL CARE
Active
Organization
MISSION PEAK DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LOISEL D.D.S. (PRESIDENT)
(510) 790-0590
Entity
Organization
Contact information
Practice address
39572 STEVENSON PL STE 227, FREMONT, CA 94539-3113
(510) 790-0590
Mailing address
39572 STEVENSON PL STE 227, FREMONT, CA 94539-3113
(510) 790-0590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30917
CA
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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