| Peres Elementary School | |
|
719 5th St Richmond CA 94801-2654 | |
| (510) 231-1407 | |
| Not Available |
| Full Name | Peres Elementary School |
|---|---|
| Speciality | Dentist |
| Location | 719 5th St, Richmond, California |
| Authorized Official Name and Position | Daniel S. Tanita (DENTIST) |
| Authorized Official Contact | 5102361661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peres Elementary School 719 5th St Richmond CA 94801-2654 Ph: (510) 231-1407 | Peres Elementary School 719 5th St Richmond CA 94801-2654 Ph: (510) 231-1407 |
| NPI Number | 1962749861 |
|---|---|
| Provider Enumeration Date | 01/11/2013 |
| Last Update Date | 01/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962749861 | NPI | - | NPPES |
| G93840-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23569 (California) | Primary |
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