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7046 Dublin Blvd Dublin CA 94568-3017 | |
| (925) 828-9811 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 7046 Dublin Blvd, Dublin, California |
| Authorized Official Name and Position | Alina Chen (OFFICE MANAGER) |
| Authorized Official Contact | 9258289811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7046 Dublin Blvd Dublin CA 94568-3017 Ph: (925) 828-9811 | 7046 Dublin Blvd Dublin CA 94568-3017 Ph: (925) 828-9811 |
| NPI Number | 1669073904 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669073904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Primary |
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