| Delta Bay Dental Group | |
|
2201 Balfour Rd D Brentwood CA 94513-4927 | |
| (925) 516-8886 | |
| (925) 516-9876 |
| Full Name | Delta Bay Dental Group |
|---|---|
| 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 |
|---|---|
| Delta Bay Dental Group 2201 Balfour Rd D Brentwood CA 94513-4927 Ph: (925) 516-8886 | Delta Bay Dental Group 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 |
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