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1140 2nd St Ste A Brentwood CA 94513-2223 | |
(925) 634-3503 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 1140 2nd St Ste A, Brentwood, California |
Authorized Official Name and Position | Christopher Charles (PARTNER) |
Authorized Official Contact | 9256343503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1140 2nd St Ste A Brentwood CA 94513-2223 Ph: (925) 634-3503 | 1140 2nd St Ste A Brentwood CA 94513-2223 Ph: (925) 634-3503 |
NPI Number | 1750891487 |
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Provider Enumeration Date | 10/09/2017 |
Last Update Date | 10/09/2017 |
Identifier | Type | State | Issuer |
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1750891487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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