| Norris Canyon Dental | |
|
2551 San Ramon Valley Blvd Suite 105 San Ramon CA 94583-1614 | |
| (925) 309-4539 | |
| (925) 309-4736 |
| Full Name | Norris Canyon Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2551 San Ramon Valley Blvd, San Ramon, California |
| Authorized Official Name and Position | Ryan Ray Dela Cruz (CEO/PRESIDENT) |
| Authorized Official Contact | 9253094539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norris Canyon Dental 2551 San Ramon Valley Blvd Suite 105 San Ramon CA 94583-1614 Ph: (925) 309-4539 | Norris Canyon Dental 2551 San Ramon Valley Blvd Suite 105 San Ramon CA 94583-1614 Ph: (925) 309-4539 |
| NPI Number | 1205211364 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205211364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63758 (California) | Primary |
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