| Hercules Kids Dentistry | |
|
500 Alfred Nobel Dr Ste 180 Hercules CA 94547-1842 | |
| (559) 307-8289 | |
| Not Available |
| Full Name | Hercules Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 Alfred Nobel Dr Ste 180, Hercules, California |
| Authorized Official Name and Position | Namrata Kaur Bhullar (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5593078289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hercules Kids Dentistry 500 Alfred Nobel Dr Ste 180 Hercules CA 94547-1842 Ph: (559) 307-8289 | Hercules Kids Dentistry 500 Alfred Nobel Dr Ste 180 Hercules CA 94547-1842 Ph: (559) 307-8289 |
| NPI Number | 1720405442 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 04/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720405442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 53756 (California) | Primary |
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