| Jason G. Law Dds Apdc | |
|
2111 Parkside Dr Suite C Fremont CA 94536-5221 | |
| (510) 792-1551 | |
| Not Available |
| Full Name | Jason G. Law Dds Apdc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2111 Parkside Dr, Fremont, California |
| Authorized Official Name and Position | Jason Law (PRESIDENT) |
| Authorized Official Contact | 5107921551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason G. Law Dds Apdc 2111 Parkside Dr Suite C Fremont CA 94536-5221 Ph: (510) 792-1551 | Jason G. Law Dds Apdc 2111 Parkside Dr Suite C Fremont CA 94536-5221 Ph: (510) 792-1551 |
| NPI Number | 1871624528 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871624528 | NPI | - | NPPES |
| 977879 | Other | CA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 44915 (California) | Primary |
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