| Hercules Dental Care In Fremont | |
|
556 Mowry Ave Ste 203 Fremont CA 94536-4186 | |
| (510) 791-0600 | |
| Not Available |
| Full Name | Hercules Dental Care In Fremont |
|---|---|
| Speciality | Dentist |
| Location | 556 Mowry Ave Ste 203, Fremont, California |
| Authorized Official Name and Position | Douglas C Lin (PRESIDENT) |
| Authorized Official Contact | 5107411777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hercules Dental Care In Fremont 500 Alfred Nobel Dr Ste 130 Hercules CA 94547-1839 Ph: (510) 741-1777 | Hercules Dental Care In Fremont 556 Mowry Ave Ste 203 Fremont CA 94536-4186 Ph: (510) 791-0600 |
| NPI Number | 1942774989 |
|---|---|
| Provider Enumeration Date | 01/13/2019 |
| Last Update Date | 01/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942774989 | NPI | - | NPPES |
| 1689904476 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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