Provider Demographics
NPI:1083832513
Name:COX, CYNTHIA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:96 TOLEDO WAY
Mailing Address - Street 2:APT. #302
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2179
Mailing Address - Country:US
Mailing Address - Phone:415-509-8341
Mailing Address - Fax:510-595-7482
Practice Address - Street 1:485 34TH ST
Practice Address - Street 2:STE.#210
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2823
Practice Address - Country:US
Practice Address - Phone:510-601-6500
Practice Address - Fax:510-595-7482
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA384101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice