| Eastshore Pediatric Dental Group | |
|
2000 Appian Way Ste 303 Pinole CA 94564-2525 | |
| (510) 964-0168 | |
| Not Available |
| Full Name | Eastshore Pediatric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2000 Appian Way Ste 303, Pinole, California |
| Authorized Official Name and Position | Teri L Kim (CO-OWNER) |
| Authorized Official Contact | 9167929267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastshore Pediatric Dental Group 2000 Appian Way Ste 303 Pinole CA 94564-2525 Ph: () - | Eastshore Pediatric Dental Group 2000 Appian Way Ste 303 Pinole CA 94564-2525 Ph: (510) 964-0168 |
| NPI Number | 1437429669 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437429669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 55811 (California) | Primary |
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