| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1866 B Street, Hayward, California |
| Authorized Official Name and Position | Eugene Roytman (OWNER) |
| Authorized Official Contact | 4155848500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1866 B St Hayward CA 94541-3139 Ph: (415) 584-8500 | 1866 B Street Hayward CA 94541 Ph: (415) 584-8500 |
| NPI Number | 1376932459 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376932459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46523 (California) | Primary |
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