Organization
CONNIE MILLARE PASCO DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MILLARE PASCO DMD (PRESIDENT)
(415) 587-5763
Entity
Organization
Contact information
Practice address
4804 MISSION STREET, SUITE 210, SAN FRANCISCO, CA 94112
(415) 587-5763
(415) 587-5049
Mailing address
4804 MISSION STREET, SUITE 210, SAN FRANCISCO, CA 94112
(415) 587-5763
(415) 587-5049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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