| East Bay Dental Group | |
|
3500 Mowry Ave Suite A Fremont CA 94538-1409 | |
| (510) 796-1499 | |
| Not Available |
| Full Name | East Bay Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3500 Mowry Ave, Fremont, California |
| Authorized Official Name and Position | Kamlesh R. Jinjuwadia (CEO) |
| Authorized Official Contact | 5107961499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Dental Group 3500 Mowry Ave Suite A Fremont CA 94538-1409 Ph: (510) 796-1499 | East Bay Dental Group 3500 Mowry Ave Suite A Fremont CA 94538-1409 Ph: (510) 796-1499 |
| NPI Number | 1659453801 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659453801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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