Individual
DR. KEVIN ULISSE CONSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1828 EL CAMINO REAL, SUITE 505, BURLINGAME, CA 94010-3103
(650) 697-3450
Mailing address
1828 EL CAMINO REAL, SUITE 505, BURLINGAME, CA 94010-3103
(650) 697-3450
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
48797
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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