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DR. SOFRONIO TOLENTINO BANATAO D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1295892388

Individual Registrant:
DR. SOFRONIO TOLENTINO BANATAO D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
35124 NEWARK BLVD  NEWARK, CA 94560-1220 US
Tel: 510-796-3441  Fax: 510-796-3475

Contact information for business:
35124 NEWARK BLVD  NEWARK, CA 94560-1220 US
Tel: 510-796-3441  Fax: 510-796-3475

Registration Information:
NPI: 1295892388
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA38797

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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