Individual
CARMINE FRANK VICINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2281 CHESTNUT ST, SAN FRANCISCO, CA 94123-2607
(415) 563-1070
Mailing address
3615 BRODERICK ST, SAN FRANCISCO, CA 94123-1006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39721
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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