| Pediatric Oral Wellness | |
|
847 San Pablo Ave Albany CA 94706-1602 | |
| (510) 418-3519 | |
| Not Available |
| Full Name | Pediatric Oral Wellness |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 847 San Pablo Ave, Albany, California |
| Authorized Official Name and Position | Patrick Ting So (CO-OWNER) |
| Authorized Official Contact | 5104183519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Oral Wellness 847 San Pablo Ave Albany CA 94706-1602 Ph: () - | Pediatric Oral Wellness 847 San Pablo Ave Albany CA 94706-1602 Ph: (510) 418-3519 |
| NPI Number | 1922430487 |
|---|---|
| Provider Enumeration Date | 08/06/2013 |
| Last Update Date | 08/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922430487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 58408 (California) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 59271 (California) | Secondary |
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