| Mission Peak Pediatric Dentistry | |
|
43480 Mission Blvd Unit 160 Fremont CA 94539-5892 | |
| (510) 980-7325 | |
| (510) 980-7328 |
| Full Name | Mission Peak Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 43480 Mission Blvd Unit 160, Fremont, California |
| Authorized Official Name and Position | Michael Wang (PRESIDENT) |
| Authorized Official Contact | 5109807325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Peak Pediatric Dentistry 43480 Mission Blvd Unit 160 Fremont CA 94539-5892 Ph: (510) 980-7325 | Mission Peak Pediatric Dentistry 43480 Mission Blvd Unit 160 Fremont CA 94539-5892 Ph: (510) 980-7325 |
| NPI Number | 1790367100 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790367100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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