| Berkeley-orinda Oral Surgery | |
|
2522 Dana St Suite 202 Berkeley CA 94704-2895 | |
| (510) 848-1055 | |
| (510) 848-9100 |
| Full Name | Berkeley-orinda Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2522 Dana St, Berkeley, California |
| Authorized Official Name and Position | Bryan R. Krey (VICE PRESIDENT) |
| Authorized Official Contact | 5108481055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley-orinda Oral Surgery 2522 Dana St Suite 202 Berkeley CA 94704-2895 Ph: (510) 848-1055 | Berkeley-orinda Oral Surgery 2522 Dana St Suite 202 Berkeley CA 94704-2895 Ph: (510) 848-1055 |
| NPI Number | 1649528027 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649528027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 44912 (California) | Primary |
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