| Piedmont Oaks Dental | |
|
1345 Grand Ave Ste 103 Piedmont CA 94610-1074 | |
| (510) 654-6523 | |
| Not Available |
| Full Name | Piedmont Oaks Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1345 Grand Ave Ste 103, Piedmont, California |
| Authorized Official Name and Position | Trina Bertelson (COO) |
| Authorized Official Contact | 5106546523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Oaks Dental 1345 Grand Ave Ste 103 Piedmont CA 94610-1074 Ph: (510) 654-6523 | Piedmont Oaks Dental 1345 Grand Ave Ste 103 Piedmont CA 94610-1074 Ph: (510) 654-6523 |
| NPI Number | 1801542022 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801542022 | NPI | - | NPPES |
| 1659869741 | Other | CA | DENTISTRY |
| 1528460664 | Other | CA | DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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