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3501 School St Lafayette CA 94549-4505 | |
| (925) 385-8051 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3501 School St, Lafayette, California |
| Authorized Official Name and Position | Barnali Roy (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 9253858051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3501 School St Lafayette CA 94549-4505 Ph: (925) 385-8051 | 3501 School St Lafayette CA 94549-4505 Ph: (925) 385-8051 |
| NPI Number | 1194190967 |
|---|---|
| Provider Enumeration Date | 12/05/2015 |
| Last Update Date | 12/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194190967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 61765 (California) | Primary |
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