| Ashby Dental In Elmwood | |
|
2507 Ashby Ave Berkeley CA 94705-2243 | |
| (510) 549-0133 | |
| Not Available |
| Full Name | Ashby Dental In Elmwood |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2507 Ashby Ave, Berkeley, California |
| Authorized Official Name and Position | Trina Bertelson (COO) |
| Authorized Official Contact | 7757221724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashby Dental In Elmwood 2507 Ashby Ave Berkeley CA 94705-2243 Ph: (510) 549-0133 | Ashby Dental In Elmwood 2507 Ashby Ave Berkeley CA 94705-2243 Ph: (510) 549-0133 |
| NPI Number | 1710633938 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710633938 | NPI | - | NPPES |
| 1588704142 | Other | CA | DENTISTRY |
| 1528460664 | Other | CA | DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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