| |
2969 Salvio St Concord CA 94519-2534 | |
(925) 685-5296 | |
(925) 798-0401 |
Full Name | |
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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 |
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2969 Salvio St Concord CA 94519-2534 Ph: (925) 685-5296 | 2969 Salvio St Concord CA 94519-2534 Ph: (925) 685-5296 |
NPI Number | 1972708683 |
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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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