Make A Smile | |
9130 Alcosta Blvd Ste A San Ramon CA 94583-3847 | |
(925) 402-4141 | |
(916) 983-9012 |
Full Name | Make A Smile |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 9130 Alcosta Blvd Ste A, San Ramon, California |
Authorized Official Name and Position | Megan Castillo (OPERATIONS MANAGER) |
Authorized Official Contact | 9167816550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Make A Smile 2260 E Bidwell St Ste 310 Folsom CA 95630-3555 Ph: () - | Make A Smile 9130 Alcosta Blvd Ste A San Ramon CA 94583-3847 Ph: (925) 402-4141 |
NPI Number | 1386159879 |
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Provider Enumeration Date | 12/06/2017 |
Last Update Date | 08/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386159879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 1700020026 (California) | Primary |
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