Individual
MISS VIKI MAE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.A.
Contact information
Practice address
4465 GIBRALTAR DR, FREMONT, CA 94536-4636
(510) 794-6591
Mailing address
4465 GIBRALTAR DR, FREMONT, CA 94536-4636
(510) 794-6591
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
50964
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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