| Brookvale Family Dental | |
|
39236 Argonaut Way Fremont CA 94538-1306 | |
| (510) 739-0701 | |
| Not Available |
| Full Name | Brookvale Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39236 Argonaut Way, Fremont, California |
| Authorized Official Name and Position | Farshad Moftakhar (OWNER / CEO) |
| Authorized Official Contact | 6262460150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookvale Family Dental 39236 Argonaut Way Fremont CA 94538-1306 Ph: () - | Brookvale Family Dental 39236 Argonaut Way Fremont CA 94538-1306 Ph: (510) 739-0701 |
| NPI Number | 1215054317 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215054317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38565 (California) | Primary |
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