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130 La Casa Via Bldg 2 Walnut Creek CA 94598-3045 | |
| (925) 935-2918 | |
| (925) 935-2918 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 130 La Casa Via Bldg 2, Walnut Creek, California |
| Authorized Official Name and Position | Peter F. Chase (DIRECTOR) |
| Authorized Official Contact | 9259352918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
130 La Casa Via Bldg 2 Suite 104 Walnut Creek CA 94598-3045 Ph: (925) 935-2918 | 130 La Casa Via Bldg 2 Walnut Creek CA 94598-3045 Ph: (925) 935-2918 |
| NPI Number | 1912207903 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912207903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22480 (California) | Primary |
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