| California Dental Care, Nahreen Imam, Dds, Inc. | |
|
3860 Broadway St Suite # 104 American Canyon CA 94503-4256 | |
| (510) 233-6611 | |
| Not Available |
| Full Name | California Dental Care, Nahreen Imam, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3860 Broadway St, American Canyon, California |
| Authorized Official Name and Position | Nahreen Imam (PRESIDENT) |
| Authorized Official Contact | 5102336611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Dental Care, Nahreen Imam, Dds, Inc. 5223 Gordon Ave El Cerrito CA 94530-2154 Ph: (510) 233-6611 | California Dental Care, Nahreen Imam, Dds, Inc. 3860 Broadway St Suite # 104 American Canyon CA 94503-4256 Ph: (510) 233-6611 |
| NPI Number | 1306035597 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306035597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54000 (California) | Primary |
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