| Galvan-exconde, Llc | |
|
3906 Decoto Rd Fremont CA 94555-3114 | |
| (510) 818-9648 | |
| (510) 818-9748 |
| Full Name | Galvan-exconde, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3906 Decoto Rd, Fremont, California |
| Authorized Official Name and Position | Felipe Halili Galvan (DENTIST) |
| Authorized Official Contact | 5108189648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galvan-exconde, Llc 3906 Decoto Rd Fremont CA 94555-3114 Ph: (510) 818-9648 | Galvan-exconde, Llc 3906 Decoto Rd Fremont CA 94555-3114 Ph: (510) 818-9648 |
| NPI Number | 1447417001 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447417001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47894 (California) | Primary |
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