| Canyon Lakes Dental | |
|
525 Bollinger Canyon Way Ste 105 San Ramon CA 94582-4935 | |
| (925) 735-3838 | |
| Not Available |
| Full Name | Canyon Lakes Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 525 Bollinger Canyon Way Ste 105, San Ramon, California |
| Authorized Official Name and Position | David Erik Richard Burke (DENTIST) |
| Authorized Official Contact | 2317353715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Lakes Dental 525 Bollinger Canyon Way Ste 105 San Ramon CA 94582-4935 Ph: (925) 735-3838 | Canyon Lakes Dental 525 Bollinger Canyon Way Ste 105 San Ramon CA 94582-4935 Ph: (925) 735-3838 |
| NPI Number | 1639546252 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 10/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639546252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901021670 (Michigan) | Primary |
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