Dientes Community Dental Care. | |
1830 Commercial Way Santa Cruz CA 95065-1819 | |
(831) 464-5409 | |
(831) 464-5416 |
Full Name | Dientes Community Dental Care. |
---|---|
Speciality | Dentist |
Location | 1830 Commercial Way, Santa Cruz, California |
Authorized Official Name and Position | Laura Marcus (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8314645420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dientes Community Dental Care. 1830 Commercial Way Santa Cruz CA 95065-1819 Ph: (831) 464-5409 | Dientes Community Dental Care. 1830 Commercial Way Santa Cruz CA 95065-1819 Ph: (831) 464-5409 |
NPI Number | 1437213279 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 06/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437213279 | NPI | - | NPPES |
932861867 | Other | CA | DUNS |
090880 | Other | CA | UDS |
1818962 | Other | CA | STATE CORPORATE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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Santa Cruz Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Dominican Way, Santa Cruz, CA 95065 Phone: 831-475-2833 | |
Paul P. Bock Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Portola Dr, Suite 3, Santa Cruz, CA 95062 Phone: 831-475-1566 |