| 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 |