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1140 2nd St Ste A Brentwood CA 94513-2296 | |
(925) 634-3503 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1140 2nd St, Brentwood, California |
Authorized Official Name and Position | Christopher Charles (GENERAL PARTNER) |
Authorized Official Contact | 9256343503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1140 2nd St Ste A Brentwood CA 94513-2296 Ph: (925) 634-3503 | 1140 2nd St Ste A Brentwood CA 94513-2296 Ph: (925) 634-3503 |
NPI Number | 1326384421 |
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Provider Enumeration Date | 12/17/2012 |
Last Update Date | 12/17/2012 |
Identifier | Type | State | Issuer |
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1326384421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | 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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