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7739 Amador Valley Blvd Dublin CA 94568-2303 | |
| (925) 833-9500 | |
| (925) 833-9504 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7739 Amador Valley Blvd, Dublin, California |
| Authorized Official Name and Position | Farhana Rassiwala (OWNER) |
| Authorized Official Contact | 9258339500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7739 Amador Valley Blvd Dublin CA 94568-2303 Ph: (925) 833-9500 | 7739 Amador Valley Blvd Dublin CA 94568-2303 Ph: (925) 833-9500 |
| NPI Number | 1093242307 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093242307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54852 (California) | Primary |
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