| Pacific Bay Pediatric Dentistry | |
|
39572 Stevenson Pl Ste 123 Fremont CA 94539-3109 | |
| (510) 404-8033 | |
| Not Available |
| Full Name | Pacific Bay Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 39572 Stevenson Pl Ste 123, Fremont, California |
| Authorized Official Name and Position | Noor Bilbeisi (OWNER) |
| Authorized Official Contact | 7329831661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Bay Pediatric Dentistry 39572 Stevenson Pl Ste 123 Fremont CA 94539-3109 Ph: (510) 404-8033 | Pacific Bay Pediatric Dentistry 39572 Stevenson Pl Ste 123 Fremont CA 94539-3109 Ph: (510) 404-8033 |
| NPI Number | 1245549195 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 09/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245549195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 56548 (California) | Primary |
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