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Individual

DR. DAVID VAKNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2375 38TH AVE, SAN FRANCISCO, CA 94116-2142
(415) 823-4739
Mailing address
2375 38TH AVE, SAN FRANCISCO, CA 94116-2142
(415) 823-4739

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
58689
CA
1223G0001X
General Practice Dentistry
58689
CA
1223P0700X
Prosthodontics
Primary
00558699
CA
1223P0700X
Prosthodontics
054922-1
NY

Other

Enumeration date
08/17/2009
Last updated
08/04/2021
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