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Brian Hennessy, D.D.S
NPI 1184838294 · on the registry since 2007 · sole proprietor
Practice
- Address
- 912 Grand Ave
Suite 101
San Rafael, CA 94901 - Phone
- (415) 453-3842
- Fax
- (415) 453-3561
- Organisation at this address
- Dipa Cappelen, D.M.D., P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California