| Fremont Family Dental Group | |
|
2243 Mowry Ave Ste C Fremont CA 94538-1630 | |
| (510) 792-9084 | |
| (510) 792-9620 |
| Full Name | Fremont Family Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2243 Mowry Ave Ste C, Fremont, California |
| Authorized Official Name and Position | Gagandeep Kohli (PRESIDENT) |
| Authorized Official Contact | 5107929084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Family Dental Group 2243 Mowry Ave Ste C Fremont CA 94538-1630 Ph: (510) 792-9084 | Fremont Family Dental Group 2243 Mowry Ave Ste C Fremont CA 94538-1630 Ph: (510) 792-9084 |
| NPI Number | 1124806039 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124806039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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