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Organization
TIMOTHY G BRICCA
Active
Organization
TIMOTHY G BRICCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY G BRICCA DDS (DENTIST)
(415) 461-6060
Entity
Organization
Contact information
Practice address
1201 LARKSPUR LANDING CIR, STE A, LARKSPUR, CA 94939-1807
(415) 461-6060
Mailing address
1201 LARKSPUR LANDING CIR, STE A, LARKSPUR, CA 94939-1807
(415) 461-6060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30763
CA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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