Individual
DR. DANIEL VINCENT CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
675 MARINERS ISLAND BLVD #105, SAN MATEO, CA 94404
(650) 345-5711
(650) 345-5780
Mailing address
675 MARINERS ISLAND BLVD #105, SAN MATEO, CA 94404
(650) 345-5711
(650) 345-5780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35701
CA
Other
Enumeration date
06/07/2006
Last updated
10/24/2019
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