| Parkside Oral Surgery & Implant Center | |
|
2525 Santa Clara Ave Alameda CA 94501-4633 | |
| (510) 865-1114 | |
| (510) 227-6212 |
| Full Name | Parkside Oral Surgery & Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2525 Santa Clara Ave, Alameda, California |
| Authorized Official Name and Position | Wendy Liao (CEO) |
| Authorized Official Contact | 5108651114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Oral Surgery & Implant Center 2525 Santa Clara Ave Alameda CA 94501-4633 Ph: (510) 865-1114 | Parkside Oral Surgery & Implant Center 2525 Santa Clara Ave Alameda CA 94501-4633 Ph: (510) 865-1114 |
| NPI Number | 1912461831 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912461831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Gurjit S Randhwa Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2229 Santa Clara Ave Ste E, Alameda, CA 94501 Phone: 510-521-3300 Fax: 510-521-3301 | |
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