| Rebecca Jardine, Dds, Inc. | |
|
915 Village Ctr Lafayette CA 94549-3504 | |
| (510) 414-6840 | |
| Not Available |
| Full Name | Rebecca Jardine, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 915 Village Ctr, Lafayette, California |
| Authorized Official Name and Position | Rebecca Jardine (OWNER) |
| Authorized Official Contact | 5104146840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Jardine, Dds, Inc. 75 California Ave Orinda CA 94563-2105 Ph: (510) 414-6840 | Rebecca Jardine, Dds, Inc. 915 Village Ctr Lafayette CA 94549-3504 Ph: (510) 414-6840 |
| NPI Number | 1083212591 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083212591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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