| Brentcourt Dental Group | |
|
1140 2nd St Ste A Brentwood CA 94513-2296 | |
| (925) 634-3503 | |
| Not Available |
| Full Name | Brentcourt Dental Group |
|---|---|
| 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 |
|---|---|
| Brentcourt Dental Group 1140 2nd St Ste A Brentwood CA 94513-2296 Ph: (925) 634-3503 | Brentcourt Dental Group 1140 2nd St Ste A Brentwood CA 94513-2296 Ph: (925) 634-3503 |
| NPI Number | 1326384421 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326384421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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