Individual
TINA-LISE CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 PETER BEHR DR, MARIN COUNTY JAIL - DENTAL HEALTH, SAN RAFAEL, CA 94903-5216
(415) 499-6651
(415) 499-7505
Mailing address
378 FORBES AVENUE, SAN RAFAEL, CA 94901-1762
(415) 485-0595
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
41171
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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