| Hesperian Dental Group Inc | |
|
17760 Hesperian Blvd San Lorenzo CA 94580-3037 | |
| (510) 363-8826 | |
| (510) 363-8796 |
| Full Name | Hesperian Dental Group Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17760 Hesperian Blvd, San Lorenzo, California |
| Authorized Official Name and Position | Susan Galvan (ADMINISTRATOR) |
| Authorized Official Contact | 4086271628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hesperian Dental Group Inc 17760 Hesperian Blvd San Lorenzo CA 94580-3037 Ph: (510) 363-8826 | Hesperian Dental Group Inc 17760 Hesperian Blvd San Lorenzo CA 94580-3037 Ph: (510) 363-8826 |
| NPI Number | 1376305425 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376305425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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