Jackie Dong Dds Inc. | |
2648 International Blvd Ste 602 Oakland CA 94601-1547 | |
(917) 650-6820 | |
Not Available |
Full Name | Jackie Dong Dds Inc. |
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Speciality | Dentist |
Location | 2648 International Blvd Ste 602, Oakland, California |
Authorized Official Name and Position | Jackie Dong (CEO) |
Authorized Official Contact | 9176506820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jackie Dong Dds Inc. 2648 International Blvd Ste 602 Oakland CA 94601-1547 Ph: () - | Jackie Dong Dds Inc. 2648 International Blvd Ste 602 Oakland CA 94601-1547 Ph: (917) 650-6820 |
NPI Number | 1649963273 |
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Provider Enumeration Date | 05/30/2023 |
Last Update Date | 05/30/2023 |
Identifier | Type | State | Issuer |
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1649963273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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