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Individual

GRACIA CUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2171 JUNIPERO SERRA BLVD, SUITE 110, DALY CITY, CA 94014
(650) 991-2288
Mailing address
2171 JUNIPERO SERRA BLVD STE 110, DALY CITY, CA 94014-1987
(650) 991-2288

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38787
CA

Other

Enumeration date
07/13/2007
Last updated
03/14/2012
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