| Sycamore Family Dentistry | |
|
1581 Sycamore Ave Suite 3 Hercules CA 94547-1700 | |
| (510) 799-2900 | |
| (510) 799-2902 |
| Full Name | Sycamore Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1581 Sycamore Ave, Hercules, California |
| Authorized Official Name and Position | Elmer Santos De Leon (PRESIDENT/CEO) |
| Authorized Official Contact | 5107992900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Family Dentistry 1581 Sycamore Ave Suite 3 Hercules CA 94547-1700 Ph: (510) 799-2900 | Sycamore Family Dentistry 1581 Sycamore Ave Suite 3 Hercules CA 94547-1700 Ph: (510) 799-2900 |
| NPI Number | 1487969028 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 08/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487969028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55619 (California) | Primary |
Cali Bay Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1581 Sycamore Ave, Ste 3, Hercules, CA 94547 Phone: 510-799-2900 Fax: 510-799-2902 | |
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