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2075 Diamond Blvd Ste H110 Concord CA 94520-5827 | |
(844) 616-5437 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 2075 Diamond Blvd Ste H110, Concord, California |
Authorized Official Name and Position | Trevor Smith (CFO) |
Authorized Official Contact | 9163401075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3100 Zinfandel Dr Ste 400 Rancho Cordova CA 95670-6391 Ph: (844) 616-5437 | 2075 Diamond Blvd Ste H110 Concord CA 94520-5827 Ph: (844) 616-5437 |
NPI Number | 1275105934 |
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Provider Enumeration Date | 07/13/2021 |
Last Update Date | 02/09/2023 |
Identifier | Type | State | Issuer |
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1275105934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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