|
| |
|
2201 Balfour Rd D Brentwood CA 94513-4927 | |
| (925) 516-8886 | |
| (925) 516-9876 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2201 Balfour Rd, Brentwood, California |
| Authorized Official Name and Position | Todd Wedeking (CO OWNER) |
| Authorized Official Contact | 9255168886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2201 Balfour Rd D Brentwood CA 94513-4927 Ph: (925) 516-8886 | 2201 Balfour Rd D Brentwood CA 94513-4927 Ph: (925) 516-8886 |
| NPI Number | 1225223142 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225223142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50191 (California) | Primary |
| 122300000X | Dentist | 53859 (California) | Secondary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7603 Brentwood Blvd, Brentwood, CA 94513 Phone: 925-208-2557 Fax: 925-208-2573 | |
Reeves, D.d.s. And Lavalley, D.d.s., A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2221 Balfour Rd Ste D, Brentwood, CA 94513 Phone: 844-616-5437 | |
Gulshan Kumar Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7760 Brentwood Blvd Ste A, Brentwood, CA 94513 Phone: 510-786-7021 |