| Axelrode Professional Corporation | |
|
2000 Appian Way Ste 301 Pinole CA 94564-2525 | |
| (510) 724-8855 | |
| (510) 724-8861 |
| Full Name | Axelrode Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2000 Appian Way Ste 301, Pinole, California |
| Authorized Official Name and Position | Yasmine Karavattuveetil (RCM DIRECTOR) |
| Authorized Official Contact | 6309368137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axelrode Professional Corporation 3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: () - | Axelrode Professional Corporation 2000 Appian Way Ste 301 Pinole CA 94564-2525 Ph: (510) 724-8855 |
| NPI Number | 1154167229 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154167229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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