| Michael F Edziak, Dds | |
|
150 Hospital Dr. Vallejo CA 94589 | |
| (707) 642-4403 | |
| (707) 642-0844 |
| Full Name | Michael F Edziak, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Hospital Dr., Vallejo, California |
| Authorized Official Name and Position | Michael F Edziak (PROPRIETOR) |
| Authorized Official Contact | 7076424403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael F Edziak, Dds 150 Hospital Dr. Vallejo CA 94589 Ph: (707) 642-4403 | Michael F Edziak, Dds 150 Hospital Dr. Vallejo CA 94589 Ph: (707) 642-4403 |
| NPI Number | 1912117326 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912117326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D22148 (California) | Primary |
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