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6471 Lone Tree Way Ste 301 Brentwood CA 94513-5265 | |
| (925) 453-2333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6471 Lone Tree Way Ste 301, Brentwood, California |
| Authorized Official Name and Position | Trieu Phuoc Ton (CEO) |
| Authorized Official Contact | 9254532333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6471 Lone Tree Way Ste 301 Brentwood CA 94513-5265 Ph: (925) 453-2333 | 6471 Lone Tree Way Ste 301 Brentwood CA 94513-5265 Ph: (925) 453-2333 |
| NPI Number | 1760991657 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760991657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 59481 (California) | Primary |
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Reeves, D.d.s. And Lavalley, D.d.s., A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2221 Balfour Rd Ste D, Brentwood, CA 94513 Phone: 844-616-5437 | |
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