| Bruce Ahtye Dds | |
|
20099 Redwood Rd Castro Valley CA 94546-4326 | |
| (510) 881-1611 | |
| Not Available |
| Full Name | Bruce Ahtye Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20099 Redwood Rd, Castro Valley, California |
| Authorized Official Name and Position | Bruce Ahtye (OWNER) |
| Authorized Official Contact | 5108811611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Ahtye Dds 20099 Redwood Rd Castro Valley CA 94546-4326 Ph: (510) 881-1611 | Bruce Ahtye Dds 20099 Redwood Rd Castro Valley CA 94546-4326 Ph: (510) 881-1611 |
| NPI Number | 1053720128 |
|---|---|
| Provider Enumeration Date | 08/03/2014 |
| Last Update Date | 08/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053720128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46564 (California) | Primary |
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