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1440 Washington Blvd Suite B3 Concord CA 94521-4098 | |
| (925) 672-7997 | |
| (925) 672-5376 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1440 Washington Blvd, Concord, California |
| Authorized Official Name and Position | Todd Alan Loftin (PRESIDENT) |
| Authorized Official Contact | 9256727997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1440 Washington Blvd Suite B3 Concord CA 94521-4098 Ph: (925) 672-7997 | 1440 Washington Blvd Suite B3 Concord CA 94521-4098 Ph: (925) 672-7997 |
| NPI Number | 1740609890 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740609890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 51495 (California) | Primary |
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