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525 Bollinger Canyon Way Ste 100 San Ramon CA 94582-4935 | |
| (925) 362-8209 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 525 Bollinger Canyon Way Ste 100, San Ramon, California |
| Authorized Official Name and Position | Parag R Kachalia (CEO PRESIDENT) |
| Authorized Official Contact | 9253628209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
525 Bollinger Canyon Way Ste 100 San Ramon CA 94582-4935 Ph: (925) 362-8209 | 525 Bollinger Canyon Way Ste 100 San Ramon CA 94582-4935 Ph: (925) 362-8209 |
| NPI Number | 1801003645 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801003645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48926 (California) | Primary |
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