| James E. Fitzgerald, Dds Inc | |
|
100 Old County Road Ste 100b Brisbane CA 94005 | |
| (415) 468-5353 | |
| Not Available |
| Full Name | James E. Fitzgerald, Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Old County Road, Brisbane, California |
| Authorized Official Name and Position | James E Fitzgerald (PRESIDENT) |
| Authorized Official Contact | 4154685353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James E. Fitzgerald, Dds Inc 100 Old County Road Ste 100b Brisbane CA 94005 Ph: (415) 468-5353 | James E. Fitzgerald, Dds Inc 100 Old County Road Ste 100b Brisbane CA 94005 Ph: (415) 468-5353 |
| NPI Number | 1588874028 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588874028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 29148 (California) | Primary |