| Sl Dental Specialty Group | |
|
1436 Clarke St San Leandro CA 94577-3635 | |
| (415) 987-0260 | |
| Not Available |
| Full Name | Sl Dental Specialty Group |
|---|---|
| Speciality | Dentist |
| Location | 1436 Clarke St, San Leandro, California |
| Authorized Official Name and Position | Justin Tin (CEO) |
| Authorized Official Contact | 4152183866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sl Dental Specialty Group 1436 Clarke St San Leandro CA 94577-3635 Ph: () - | Sl Dental Specialty Group 1436 Clarke St San Leandro CA 94577-3635 Ph: (415) 987-0260 |
| NPI Number | 1285161323 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 05/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285161323 | NPI | - | NPPES |
| 37744 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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