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Organization
MACIAS AND CRESPO DENTAL CORPORATION
Active
Organization
MACIAS AND CRESPO DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL STEVEN CRESPO D.D.S. (PRESIDENT)
(510) 236-5640
Entity
Organization
Contact information
Practice address
2232 ROAD 20, SAN PABLO, CA 94806-3318
(510) 236-5640
Mailing address
2232 ROAD 20, SAN PABLO, CA 94806-3318
(510) 236-5640
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44805
CA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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