Provider Demographics
NPI:1821277831
Name:MCMAHON, DENNIS MICHAEL II (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MICHAEL
Last Name:MCMAHON
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:45 CASTRO ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1010
Mailing Address - Country:US
Mailing Address - Phone:415-565-6897
Mailing Address - Fax:
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:SUITE 121
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1010
Practice Address - Country:US
Practice Address - Phone:415-565-6897
Practice Address - Fax:415-864-1654
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2008-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA88141208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery