| Fremont Dental Center | |
|
40803 Fremont Blvd Fremont CA 94538 | |
| (510) 933-0088 | |
| (510) 933-0080 |
| Full Name | Fremont Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 40803 Fremont Blvd, Fremont, California |
| Authorized Official Name and Position | Dong-youn Shin (PRESIDENT OR DIRECTOR) |
| Authorized Official Contact | 4084998938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Dental Center 40803 Fremont Blvd Fremont CA 94538 Ph: (510) 933-0088 | Fremont Dental Center 40803 Fremont Blvd Fremont CA 94538 Ph: (510) 933-0088 |
| NPI Number | 1336431709 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336431709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57509 (California) | Primary |
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