Pinole Modern Dentistry Dental Group | |
1208 Fitzgerald Dri Pinole CA 94564 | |
(510) 210-8907 | |
(510) 379-7252 |
Full Name | Pinole Modern Dentistry Dental Group |
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Speciality | Dentist |
Location | 1208 Fitzgerald Dri, Pinole, California |
Authorized Official Name and Position | Priya Patel (OWNER DOCTOR) |
Authorized Official Contact | 5102108907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pinole Modern Dentistry Dental Group 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Pinole Modern Dentistry Dental Group 1208 Fitzgerald Dri Pinole CA 94564 Ph: (510) 210-8907 |
NPI Number | 1285008987 |
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Provider Enumeration Date | 11/18/2015 |
Last Update Date | 11/18/2015 |
Identifier | Type | State | Issuer |
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1285008987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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