| Dentistar Comprehensive Dental Care, Inc. | |
|
111 Deerwood Rd Suite 350 San Ramon CA 94583-4409 | |
| (925) 718-8970 | |
| (925) 718-8971 |
| Full Name | Dentistar Comprehensive Dental Care, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 Deerwood Rd, San Ramon, California |
| Authorized Official Name and Position | Steve G Kim (PRESIDENT) |
| Authorized Official Contact | 3109631316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistar Comprehensive Dental Care, Inc. 111 Deerwood Rd Suite 350 San Ramon CA 94583-4409 Ph: (925) 718-8970 | Dentistar Comprehensive Dental Care, Inc. 111 Deerwood Rd Suite 350 San Ramon CA 94583-4409 Ph: (925) 718-8970 |
| NPI Number | 1063874329 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063874329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58619 (California) | Primary |
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