| Porteous & Burke Dental Corporation | |
|
667 Parker Ave Rodeo CA 94572-1434 | |
| (510) 799-4746 | |
| (510) 799-5475 |
| Full Name | Porteous & Burke Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 667 Parker Ave, Rodeo, California |
| Authorized Official Name and Position | Pamela Danielle Porteous-burke (DR., OWNER) |
| Authorized Official Contact | 5107994746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porteous & Burke Dental Corporation 667 Parker Ave Rodeo CA 94572-1434 Ph: (510) 799-4746 | Porteous & Burke Dental Corporation 667 Parker Ave Rodeo CA 94572-1434 Ph: (510) 799-4746 |
| NPI Number | 1417282450 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417282450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56949 (California) | Primary |
Rodeo Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Railroad Ave, Rodeo, CA 94572 Phone: 510-455-7486 Fax: 877-739-4950 | |
Jergensen Dental Pc Rodeo Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Railroad Ave, Rodeo, CA 94572 Phone: 510-799-4871 |