Blue Oak Endodontics | |
301 Alamo Dr Ste D Vacaville CA 95688-4246 | |
(707) 447-7576 | |
Not Available |
Full Name | Blue Oak Endodontics |
---|---|
Speciality | Dentist - Endodontics |
Location | 301 Alamo Dr Ste D, Vacaville, California |
Authorized Official Name and Position | Samer Hejlawy (PRESIDENT) |
Authorized Official Contact | 7074477576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blue Oak Endodontics 301 Alamo Dr Ste D Vacaville CA 95688-4246 Ph: (707) 447-7576 | Blue Oak Endodontics 301 Alamo Dr Ste D Vacaville CA 95688-4246 Ph: (707) 447-7576 |
NPI Number | 1528579661 |
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Provider Enumeration Date | 10/17/2017 |
Last Update Date | 11/20/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528579661 | NPI | - | NPPES |
1902229164 | Other | NPI | |
1528579661 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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