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General NPI Number Information
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NPI Number | 1831447259
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Entity Type | Organization
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Legal Business Name | DAVID P. CARTAGO DDS, DENTAL OFFICE, INC.
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 1026 OAK ST STE 202
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City | CLAYTON
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State | CA
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Zip | 94517-1363
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Country | US
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Telephone | 925-331-7665
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Fax | 925-833-8930
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Provider Business Mailing Address
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Address Line | 425 EL PINTADO RD SUITE 105
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City | DANVILLE
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State | CA
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Zip | 94526-1848
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Country | US
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Telephone | 925-833-8702
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Fax | 925-833-8930
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Authorized Official
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Title or Position | CEO
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Name | DAVID P CARTAGO
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Credential | DDS
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Telephone | 925-833-8702
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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 |
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License Number State |
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