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Organization
CORTE MADERA FAMILY DENTISTRY INC.
Active
Organization
CORTE MADERA FAMILY DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON THANE GARRETT DDS (OWNER/EMPLOYEE)
(415) 924-4772
Entity
Organization
Contact information
Practice address
81 CASA BUENA DR STE 2, CORTE MADERA, CA 94925-1710
(415) 924-4772
Mailing address
81 CASA BUENA DR STE 2, CORTE MADERA, CA 94925-1710
(415) 924-4772
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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