| Atienza Family Dental Corporation | |
|
37070 Newark Blvd Ste C Newark CA 94560-3798 | |
| (510) 793-2665 | |
| (510) 793-2695 |
| Full Name | Atienza Family Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 37070 Newark Blvd Ste C, Newark, California |
| Authorized Official Name and Position | Regis M Atienza (OWNER) |
| Authorized Official Contact | 5102056151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atienza Family Dental Corporation 37070 Newark Blvd Ste C Newark CA 94560-3798 Ph: (510) 793-2665 | Atienza Family Dental Corporation 37070 Newark Blvd Ste C Newark CA 94560-3798 Ph: (510) 793-2665 |
| NPI Number | 1124319652 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124319652 | NPI | - | NPPES |
| 40786 | Other | CA | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40786 (California) | Primary |
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