Antioch Dental Specialty | |
5171 Lone Tree Way Antioch CA 94531 | |
(925) 755-0111 | |
Not Available |
Full Name | Antioch Dental Specialty |
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Speciality | Dentist |
Location | 5171 Lone Tree Way, Antioch, California |
Authorized Official Name and Position | Alexander Lim (OWNDER) |
Authorized Official Contact | 9257550111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Antioch Dental Specialty 5171 Lone Tree Way Antioch CA 94531-8689 Ph: () - | Antioch Dental Specialty 5171 Lone Tree Way Antioch CA 94531 Ph: (925) 755-0111 |
NPI Number | 1851825921 |
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Provider Enumeration Date | 04/17/2017 |
Last Update Date | 04/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851825921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 50306 (California) | Primary |
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