| None | |
|
2969 Salvio St Concord CA 94519-2534 | |
| (925) 685-5296 | |
| (925) 798-0401 |
| Full Name | None |
|---|---|
| Speciality | Dentist |
| Location | 2969 Salvio St, Concord, California |
| Authorized Official Name and Position | Lester Takeshi Yamashita (PRESIDENT DENTIST) |
| Authorized Official Contact | 9256855296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 2969 Salvio St Concord CA 94519-2534 Ph: (925) 685-5296 | None 2969 Salvio St Concord CA 94519-2534 Ph: (925) 685-5296 |
| NPI Number | 1972708683 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972708683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45060 (California) | Primary |
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