| Montclair Dental Group | |
|
2220 Mountain Blvd Ste 206 Oakland CA 94611-2905 | |
| (510) 482-5700 | |
| (510) 482-0407 |
| Full Name | Montclair Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2220 Mountain Blvd Ste 206, Oakland, California |
| Authorized Official Name and Position | Gagandeep S Kohli (PRESIDENT) |
| Authorized Official Contact | 6505564778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Dental Group 2220 Mountain Blvd Ste 206 Oakland CA 94611-2905 Ph: (510) 482-5700 | Montclair Dental Group 2220 Mountain Blvd Ste 206 Oakland CA 94611-2905 Ph: (510) 482-5700 |
| NPI Number | 1750800306 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750800306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49124 (California) | Primary |
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