| Fallon Dental Group | |
|
3746 Fallon Rd Fallon Gateway Dublin CA 94568 | |
| (925) 803-0100 | |
| Not Available |
| Full Name | Fallon Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3746 Fallon Rd, Dublin, California |
| Authorized Official Name and Position | Azita Kabiri (DENTIST) |
| Authorized Official Contact | 9252060735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fallon Dental Group 4284 Diavila Ave Pleasanton CA 94588-8373 Ph: (925) 206-0735 | Fallon Dental Group 3746 Fallon Rd Fallon Gateway Dublin CA 94568 Ph: (925) 803-0100 |
| NPI Number | 1053867622 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053867622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DDS100543 (California) | Primary |
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