| Hp Dental Group | |
|
650 International Blvd Ste A Oakland CA 94606-2987 | |
| (510) 836-4755 | |
| (510) 836-4715 |
| Full Name | Hp Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 650 International Blvd Ste A, Oakland, California |
| Authorized Official Name and Position | Hai Tan Pham (PRESIDENT) |
| Authorized Official Contact | 5108364755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hp Dental Group 650 International Blvd Ste A Oakland CA 94606-2987 Ph: (510) 836-4755 | Hp Dental Group 650 International Blvd Ste A Oakland CA 94606-2987 Ph: (510) 836-4755 |
| NPI Number | 1982975215 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982975215 | NPI | - | NPPES |
| 56459 | Other | CA | CALIFORNIA DENTAL LICENSE # |
| 63719 | Other | CA | CA LICENSE # |
| B41031 | Other | CA | DENTI-CAL |
| B59463 | Other | CA | DENTI-CAL |
| D43264 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41031 (California) | Primary |
| 122300000X | Dentist | 43264 (California) | Secondary |
| 122300000X | Dentist | 59463 (California) | Secondary |
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