| St. Rose Hospital-silva Pediatric Dental Clinic | |
|
680 W Tennyson Rd Hayward CA 94544-5236 | |
| (510) 780-9119 | |
| (510) 780-9211 |
| Full Name | St. Rose Hospital-silva Pediatric Dental Clinic |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 680 W Tennyson Rd, Hayward, California |
| Authorized Official Name and Position | Michael Mahoney (PRESIDENT & CEO) |
| Authorized Official Contact | 5102644000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Rose Hospital-silva Pediatric Dental Clinic 680 W Tennyson Rd Hayward CA 94544-5236 Ph: (510) 780-9119 | St. Rose Hospital-silva Pediatric Dental Clinic 680 W Tennyson Rd Hayward CA 94544-5236 Ph: (510) 780-9119 |
| NPI Number | 1023225828 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023225828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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