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1581 Sycamore Ave Ste 3 Hercules CA 94547-1700 | |
| (510) 799-2900 | |
| (510) 799-2902 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1581 Sycamore Ave, Hercules, California |
| Authorized Official Name and Position | Zander Lin (PRESIDENT) |
| Authorized Official Contact | 5107992900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1581 Sycamore Ave Ste 3 Hercules CA 94547-1700 Ph: (510) 799-2900 | 1581 Sycamore Ave Ste 3 Hercules CA 94547-1700 Ph: (510) 799-2900 |
| NPI Number | 1154751220 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 11/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154751220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59063 (California) | Primary |
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