| Macias And Crespo Dental Corporation | |
|
2232 Road 20 San Pablo CA 94806-3318 | |
| (510) 236-5640 | |
| Not Available |
| Full Name | Macias And Crespo Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2232 Road 20, San Pablo, California |
| Authorized Official Name and Position | Paul Steven Crespo (PRESIDENT) |
| Authorized Official Contact | 5102365640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macias And Crespo Dental Corporation 2232 Road 20 San Pablo CA 94806-3318 Ph: (510) 236-5640 | Macias And Crespo Dental Corporation 2232 Road 20 San Pablo CA 94806-3318 Ph: (510) 236-5640 |
| NPI Number | 1942674734 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942674734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44805 (California) | Primary |
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