Whalio Doctors

NPI 1457675530

Carlos Cam, RDA

Practitioner Dental Assistant San Rafael, CA

Practice location

Address
411 4th St, San Rafael, CA 94901-5716
Phone
(415) 473-5450
Fax
(415) 473-5460

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence 65029 (CA)

Registry record

NPI
1457675530
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Mar 2010
Record last updated
18 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.