Robertmoneillddsinc | |
20054 Lake Chabot Rd Castro Valley CA 94546-5304 | |
(510) 886-1231 | |
(510) 886-4736 |
Full Name | Robertmoneillddsinc |
---|---|
Speciality | Dentist - General Practice |
Location | 20054 Lake Chabot Rd, Castro Valley, California |
Authorized Official Name and Position | Robert Michael Oneill (OWNER) |
Authorized Official Contact | 5108861231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robertmoneillddsinc 20054 Lake Chabot Rd Castro Valley CA 94546-5304 Ph: (510) 886-1231 | Robertmoneillddsinc 20054 Lake Chabot Rd Castro Valley CA 94546-5304 Ph: (510) 886-1231 |
NPI Number | 1932311636 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 07/11/2007 |
Identifier | Type | State | Issuer |
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1932311636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 21627 (California) | Primary |
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