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NPI Code Detail

MEDICARE: DR. LILLIAN FRANCHOT DASHIELL DDS

MEDICARE: DR. LILLIAN FRANCHOT DASHIELL DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
2122300000XDentist100330CA

General Provider Information

NPI Number : 1578698783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LILLIAN FRANCHOT DASHIELL DDS
Provider Business Mailing Address
First Line : 240 CALDECOTT LN UNIT 111
Second Line :
City : OAKLAND
State : CA
Zip : 94618-2411
Country : US
Telephone Number : 510-847-4929
Fax Number :
Provider Business Practice Location Address
First Line : 3779 E CASTRO VALLEY BLVD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94552-4835
Country : US
Telephone Number : 510-581-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 08/03/2016

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