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Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Parent organization
LIFELONG MEDICAL CARE
Other names
LifeLong Dental Van
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELONG MEDICAL CARE
Authorized official
MR. MARTIN LYNCH PHD (CHIEF EXECUTIVE OFFICER)
(510) 981-4123
Entity
Organization
Contact information
Practice address
2344 6TH ST, BERKELEY, CA 94710-2412
(510) 981-4122
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(510) 981-4122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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