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1046 Murrieta Blvd Livermore CA 94550-4111 | |
| (925) 456-7600 | |
| (925) 456-7601 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1046 Murrieta Blvd, Livermore, California |
| Authorized Official Name and Position | Mandeep Sidhu (CEO) |
| Authorized Official Contact | 9254567600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1046 Murrieta Blvd Livermore CA 94550-4111 Ph: (925) 456-7600 | 1046 Murrieta Blvd Livermore CA 94550-4111 Ph: (925) 456-7600 |
| NPI Number | 1023387644 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 12/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023387644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55395 (California) | Primary |
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