| Peres Dental Clinic | |
|
719 5th St Richmond CA 94801-2654 | |
| (510) 231-1407 | |
| Not Available |
| Full Name | Peres Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 719 5th St, Richmond, California |
| Authorized Official Name and Position | Jawan Eldridge (PRINCIPAL) |
| Authorized Official Contact | 5102311407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peres Dental Clinic 719 5th St Richmond CA 94801-2654 Ph: (510) 231-1407 | Peres Dental Clinic 719 5th St Richmond CA 94801-2654 Ph: (510) 231-1407 |
| NPI Number | 1306274147 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306274147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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