| Agape Dental Group | |
|
4988 Paseo Padre Pkwy # 204 Fremont CA 94555-3412 | |
| (510) 792-5551 | |
| (510) 792-5570 |
| Full Name | Agape Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4988 Paseo Padre Pkwy # 204, Fremont, California |
| Authorized Official Name and Position | Yeming Wu (OWNER) |
| Authorized Official Contact | 5107925551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Dental Group 4988 Paseo Padre Pkwy # 204 Fremont CA 94555-3412 Ph: (510) 792-5551 | Agape Dental Group 4988 Paseo Padre Pkwy # 204 Fremont CA 94555-3412 Ph: (510) 792-5551 |
| NPI Number | 1841211075 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841211075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41185 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 43744 (California) | Primary |
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