| Lisa Cannatella, Dds And Priyanka Moonka, Dds, Inc | |
|
9301 Fircrest Ln Ste 7 San Ramon CA 94583-3960 | |
| (925) 828-5335 | |
| (925) 829-6170 |
| Full Name | Lisa Cannatella, Dds And Priyanka Moonka, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 9301 Fircrest Ln Ste 7, San Ramon, California |
| Authorized Official Name and Position | Kris Williams (PROJECT MANAGER) |
| Authorized Official Contact | 9258285335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Cannatella, Dds And Priyanka Moonka, Dds, Inc 9301 Fircrest Ln Ste 7 San Ramon CA 94583-3960 Ph: (925) 828-5335 | Lisa Cannatella, Dds And Priyanka Moonka, Dds, Inc 9301 Fircrest Ln Ste 7 San Ramon CA 94583-3960 Ph: (925) 828-5335 |
| NPI Number | 1447781026 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447781026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41261 (California) | Primary |
| 122300000X | Dentist | 54869 (California) | Secondary |
| 122300000X | Dentist | 35603 (California) | Secondary |
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