Individual
DR. DAVID THOMAS FOSDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20600 LAKE CHABOT RD, SUITE 101, CASTRO VALLEY, CA 94546
(510) 582-8399
(510) 582-3564
Mailing address
20600 LAKE CHABOT RD, SUITE 101, CASTRO VALLEY, CA 94546
(510) 582-8399
(510) 582-3564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031783
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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