DR. Cynthia Fantacone, DDS

NPI #1619010873 in Mill Valley, California

Provider Information

NPI Number: 1619010873
Entity Type: Individual
Name: DR. Cynthia Fantacone, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 60 BAYVIEW TER
City: Mill Valley
State: California
ZIP Code: 94941-2495
Phone: (415) 388-2461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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