| San Leandro Plaza Dental Office | |
|
263 Davis St San Leandro CA 94577-2742 | |
| (510) 357-8878 | |
| (510) 357-8898 |
| Full Name | San Leandro Plaza Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 263 Davis St, San Leandro, California |
| Authorized Official Name and Position | Rogelia Castro Maniego (PRESIDENT) |
| Authorized Official Contact | 5103578878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Leandro Plaza Dental Office 263 Davis St San Leandro CA 94577-2742 Ph: (510) 357-8878 | San Leandro Plaza Dental Office 263 Davis St San Leandro CA 94577-2742 Ph: (510) 357-8878 |
| NPI Number | 1740490598 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740490598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49144 (California) | Primary |
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