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27206 Calaroga Ave #216 Hayward CA 94545-4300 | |
| (510) 782-2711 | |
| (510) 782-2773 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27206 Calaroga Ave, Hayward, California |
| Authorized Official Name and Position | Atul M Patel (PRESIDENT) |
| Authorized Official Contact | 5107822711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
27206 Calaroga Ave #216 Hayward CA 94545-4300 Ph: (510) 782-2711 | 27206 Calaroga Ave #216 Hayward CA 94545-4300 Ph: (510) 782-2711 |
| NPI Number | 1366654600 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366654600 | NPI | - | NPPES |
| 30445 | Other | CA | DENTAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30445 (California) | Primary |
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