Gateway Plaza Dental Clinic | |
24901 Santa Clara St Suite B-2 Hayward CA 94544-2147 | |
(510) 887-6835 | |
(510) 887-2872 |
Full Name | Gateway Plaza Dental Clinic |
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Speciality | Dentist - General Practice |
Location | 24901 Santa Clara St, Hayward, California |
Authorized Official Name and Position | Jaime Victores Evangelista (DENTIST) |
Authorized Official Contact | 5108876835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Plaza Dental Clinic 24901 Santa Clara St Suite B-2 Hayward CA 94544-2147 Ph: (510) 887-6835 | Gateway Plaza Dental Clinic 24901 Santa Clara St Suite B-2 Hayward CA 94544-2147 Ph: (510) 887-6835 |
NPI Number | 1851476766 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851476766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 37103 (California) | Primary |
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