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2238 Santa Clara Ave Ste C Alameda CA 94501-4464 | |
| (510) 522-3545 | |
| (510) 522-2291 |
| Full Name | |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2238 Santa Clara Ave Ste C, Alameda, California |
| Authorized Official Name and Position | Connie Oh (OWNER) |
| Authorized Official Contact | 5105223545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2238 Santa Clara Ave Ste C Alameda CA 94501-4464 Ph: (510) 522-3545 | 2238 Santa Clara Ave Ste C Alameda CA 94501-4464 Ph: (510) 522-3545 |
| NPI Number | 1538680632 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538680632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 61227 (California) | Primary |
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