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Organization
SANNA CHARLIE DDS PC
Active
Organization
SANNA CHARLIE DDS PC
Active
Other names
Define Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANNA CHARLIE DDS (DENTIST/PRESIDENT)
(925) 895-5268
Entity
Organization
Contact information
Practice address
60 FENTON ST STE 10, LIVERMORE, CA 94550-4148
(925) 447-8635
Mailing address
PO BOX 2812, DUBLIN, CA 94568-0812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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