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Individual
THOMAS EDWARD GAFFANEY
Active
Individual
THOMAS EDWARD GAFFANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
27616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953516259
FEDERAL ID NUMBER
CA
Enumeration date
09/29/2006
Last updated
05/23/2008
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