| |
4125 Concord Blvd. Suite A Concord CA 94519 | |
(925) 849-4469 | |
(925) 849-4697 |
Full Name | |
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Speciality | Dentist |
Location | 4125 Concord Blvd., Concord, California |
Authorized Official Name and Position | Yasman Sani (CEO) |
Authorized Official Contact | 9255884294 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4125 Concord Blvd. Suite A Concord CA 94519 Ph: (925) 849-4469 | 4125 Concord Blvd. Suite A Concord CA 94519 Ph: (925) 849-4469 |
NPI Number | 1114474392 |
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Provider Enumeration Date | 09/06/2016 |
Last Update Date | 09/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114474392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 53029 (California) | Primary |
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