Fosdahl, David Thomas

Fosdahl, David Thomas is an individual health care provider with primary practice located at 20600 Lake Chabot Rd Suite 101, Castro Valley CA 94546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fosdahl, David Thomas can be contacted via phone (510) 582-8399.

Contact Information

Primary practice address
20600 Lake Chabot Rd Suite 101 Castro Valley CA 94546
Phone: (510) 582-8399
Fax: (510) 582-3564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 031783 California

Profile Details

NPI number 1053460121
LBN Legal business name Fosdahl, David Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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