DR. David Thomas Fosdahl, DDS

NPI #1053460121 in Castro Valley, California

Provider Information

NPI Number: 1053460121
Entity Type: Individual
Name: DR. David Thomas Fosdahl, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 20600 LAKE CHABOT RD
Address 2: SUITE 101
City: Castro Valley
State: California
ZIP Code: 94546
Phone: (510) 582-8399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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