| |
1026 Oak St Ste 202 Clayton CA 94517-1363 | |
(925) 331-7665 | |
(925) 833-8930 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 1026 Oak St Ste 202, Clayton, California |
Authorized Official Name and Position | David P Cartago (CEO) |
Authorized Official Contact | 9258338702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
425 El Pintado Rd Suite 105 Danville CA 94526-1848 Ph: (925) 833-8702 | 1026 Oak St Ste 202 Clayton CA 94517-1363 Ph: (925) 331-7665 |
NPI Number | 1831447259 |
---|---|
Provider Enumeration Date | 08/15/2012 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831447259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |