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Individual

DR. CECILIA RACQUEL HEMEDEZ AVENIDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
2400 WESTBOROUGH BLVD, STE. 200, SOUTH SAN FRANCISCO, CA 94080-5404
(650) 515-1991
Mailing address
66 PARKGROVE DR, SOUTH SAN FRANCISCO, CA 94080-1597
(650) 515-1991

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55677
CA

Other

Enumeration date
03/08/2008
Last updated
09/14/2011
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