Organization
PATRICK G DUFFY DDS, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK GILES DUFFY DDS, MD (OWNER)
(415) 640-8595
Entity
Organization
Contact information
Practice address
2147 MOWRY AVE, SUITE A1, FREMONT, CA 94538-1724
(510) 574-1868
Mailing address
55 EDGEWOOD PL, BELMONT, CA 94002
(451) 640-8595
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639174667
OTHER NPI NUMBER
—
Enumeration date
10/08/2012
Last updated
10/19/2012
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