| Richard C. Evangelista D.d.s., Inc. | |
|
6111 Johnson Ct Ste 201 Pleasanton CA 94588-3331 | |
| (925) 924-9900 | |
| Not Available |
| Full Name | Richard C. Evangelista D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6111 Johnson Ct Ste 201, Pleasanton, California |
| Authorized Official Name and Position | Richard Evangelista (PRESIDENT) |
| Authorized Official Contact | 9257890575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C. Evangelista D.d.s., Inc. 6111 Johnson Ct Ste 201 Pleasanton CA 94588-3331 Ph: (925) 924-9900 | Richard C. Evangelista D.d.s., Inc. 6111 Johnson Ct Ste 201 Pleasanton CA 94588-3331 Ph: (925) 924-9900 |
| NPI Number | 1386172450 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 06/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386172450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 47258 (California) | Primary |
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