Surfside Kids Dental | |
675 Contra Costa Blvd Pleasant Hill CA 94523-1514 | |
(925) 689-5800 | |
(925) 689-5887 |
Full Name | Surfside Kids Dental |
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Speciality | Dentist |
Location | 675 Contra Costa Blvd, Pleasant Hill, California |
Authorized Official Name and Position | Joseph Rawlins (PRESIDENT) |
Authorized Official Contact | 9162299941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Surfside Kids Dental Po Box 4785 El Dorado Hills CA 95762-0024 Ph: (925) 689-5800 | Surfside Kids Dental 675 Contra Costa Blvd Pleasant Hill CA 94523-1514 Ph: (925) 689-5800 |
NPI Number | 1952785339 |
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Provider Enumeration Date | 07/15/2015 |
Last Update Date | 02/08/2016 |
Identifier | Type | State | Issuer |
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1952785339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 51046 (California) | Primary |
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