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Individual

DONALD ERIC KENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
856 CYPRESS AVE, NOVATO, CA 94947-3925
(415) 898-7390
(415) 898-7389
Mailing address
926A DIABLO AVE # 122, NOVATO, CA 94947-4025
(415) 898-7390
(415) 898-7389

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34133
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G89980-01
CA
Enumeration date
02/23/2007
Last updated
07/09/2007
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