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General NPI Number Information
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NPI Number | 1023287109
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Entity Type | Organization
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Legal Business Name | DAVID P. CARTAGO D.D.S., INC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 4510 OHARA AVE SUITE C
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City | BRENTWOOD
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State | CA
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Zip | 94513-2293
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Country | US
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Telephone | 925-634-9118
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Fax | 925-634-9102
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Provider Business Mailing Address
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Address Line | 9260 ALCOSTA BLVD SUITE B10
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City | SAN RAMON
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State | CA
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Zip | 94583-4134
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Country | US
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Telephone | 925-634-9118
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Fax | 925-634-9102
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Authorized Official
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Title or Position | DENTIST/CEO
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Name | DAVID P. CARTAGO
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Credential | D.D.S.
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Telephone | 925-634-9118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 55561
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License Number State | CA
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