DR. Daniel Autencio Mabaet, DENTIST
NPI #1376021394 in Vallejo, California
Provider Information
- NPI Number
- 1376021394
- Entity Type
- Individual
- Name
- DR. Daniel Autencio Mabaet, DENTIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DENTIST
- Enumeration Date
- Aug 1, 2018
- Last Updated
- Aug 1, 2018
Practice Location
- Address
- 285 MARE ISLAND WAY
- City
- Vallejo
- State
- California
- ZIP Code
- 94590-9459
- Phone
- (707) 552-2228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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