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Organization
JOHANNES P KNUEPPEL DDS INC
Active
Organization
JOHANNES P KNUEPPEL DDS INC
Active
Other names
Coastside Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHANNES P KNUEPPEL D.D.S. (OWNER)
(650) 726-6884
Entity
Organization
Contact information
Practice address
840 MAIN ST, SUITE A, HALF MOON BAY, CA 94019-2187
(650) 726-6884
Mailing address
840 MAIN ST, SUITE A, HALF MOON BAY, CA 94019-2187
(650) 726-6884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59443
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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