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Organization
RONALDO E FERMIN DMD INC
Active
Organization
RONALDO E FERMIN DMD INC
Active
Parent organization
RONALDO E FERMIN DMD INC DBA GELLERT DENTAL OFFICE
Other names
Gellert Dental Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALDO E FERMIN DMD INC DBA GELLERT DENTAL OFFICE
Authorized official
DR. ALICIA B FERMIN DMD (CO OWNER DENTIST ADMINISTRATOR AND)
(650) 878-1033
Entity
Organization
Contact information
Practice address
2400 WESTBOROUGH BLVD STE 104, SOUTH SAN FRANCISCO, CA 94080-5402
(650) 878-1033
(650) 878-1031
Mailing address
2400 WESTBOROUGH BLVD STE 104, SOUTH SAN FRANCISCO, CA 94080-5402
(650) 878-1033
(650) 878-1031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9080201
DENTICAL PROVIDER NO
CA
Enumeration date
02/07/2007
Last updated
07/13/2020
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