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Individual

DR. ANNALIESE CARLSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
256 N SAN MATEO DR, SUITE 4, SAN MATEO, CA 94401-2624
(650) 342-5721
(650) 342-8626
Mailing address
256 N SAN MATEO DR, SUITE 4, SAN MATEO, CA 94401-2624
(650) 342-5721
(650) 342-8626

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58483
CA
1223G0001X
General Practice Dentistry
9585
NC

Other

Enumeration date
11/25/2009
Last updated
05/04/2016
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