| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 548 3rd St W, Sonoma, California |
| Authorized Official Name and Position | Neal Patel (DENTIST / OWNER) |
| Authorized Official Contact | 7079383077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2836 Woodside Ter Fremont CA 94539-8024 Ph: (510) 579-7529 | 548 3rd St W Sonoma CA 95476-6502 Ph: (510) 579-7529 |
| NPI Number | 1063094597 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063094597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bradd S. Yoshioka, A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 3rd St W, Sonoma, CA 95476 Phone: 707-996-3016 |