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2140 South Shore Center Alameda CA 94501 | |
| (714) 428-2000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2140 South Shore Center, Alameda, California |
| Authorized Official Name and Position | Erick N Cuenca (PRESIDENT) |
| Authorized Official Contact | 7144282000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2140 South Shore Center Alameda CA 94501 Ph: (714) 428-2000 | 2140 South Shore Center Alameda CA 94501 Ph: (714) 428-2000 |
| NPI Number | 1619238219 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619238219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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