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General NPI Number Information
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NPI Number | 1205043619
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Entity Type | Organization
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Legal Business Name | GREGORY J. CONTE DMD, MS, APDC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 345 W PORTAL AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1429
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Country | US
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Telephone | 415-664-4532
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Fax |
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Provider Business Mailing Address
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Address Line | 345 W PORTAL AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1429
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Country | US
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Telephone | 415-664-4532
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. GREGORY J CONTE
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Credential | DMD, MS
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Telephone | 415-664-4532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 42042
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License Number State | CA
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