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Individual

DR. DANIEL QUAN MINH TA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1598 WASHINGTON AVE, SAN LEANDRO, CA 94577
(510) 545-4588
Mailing address
2021 26TH ST UNIT 201, SAN FRANCISCO, CA 94107-4425
(949) 735-9756

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104131
CA

Other

Enumeration date
07/30/2019
Last updated
09/03/2019
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