S. T. Banatao Dds Inc. | |
35124 Newark Blvd Newark CA 94560-1220 | |
(510) 796-3441 | |
(510) 796-3475 |
Full Name | S. T. Banatao Dds Inc. |
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Speciality | Dentist - General Practice |
Location | 35124 Newark Blvd, Newark, California |
Authorized Official Name and Position | Sofronio Tolentino Banatao (CEO) |
Authorized Official Contact | 5107963441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S. T. Banatao Dds Inc. 35124 Newark Blvd Newark CA 94560-1220 Ph: (510) 796-3441 | S. T. Banatao Dds Inc. 35124 Newark Blvd Newark CA 94560-1220 Ph: (510) 796-3441 |
NPI Number | 1699308031 |
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Provider Enumeration Date | 02/13/2020 |
Last Update Date | 02/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699308031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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