Kohoutek Dental | |
29300 Kohoutek Way Suite 100 Union City CA 94587-1252 | |
(347) 285-1174 | |
Not Available |
Full Name | Kohoutek Dental |
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Speciality | Dentist |
Location | 29300 Kohoutek Way, Union City, California |
Authorized Official Name and Position | Marcus Lin (OWNER PRESIDENT) |
Authorized Official Contact | 3472851174 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kohoutek Dental 29300 Kohoutek Way Suite 100 Union City CA 94587-1252 Ph: (347) 285-1174 | Kohoutek Dental 29300 Kohoutek Way Suite 100 Union City CA 94587-1252 Ph: (347) 285-1174 |
NPI Number | 1467882852 |
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Provider Enumeration Date | 11/20/2013 |
Last Update Date | 11/20/2013 |
Identifier | Type | State | Issuer |
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1467882852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 61976 (California) | Primary |
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