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6200 Center St Suite I Clayton CA 94517-1446 | |
(925) 330-5157 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 6200 Center St, Clayton, California |
Authorized Official Name and Position | Victor Duc Truong (PRESIDENT) |
Authorized Official Contact | 9253305157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6200 Center St Suite I Clayton CA 94517-1446 Ph: (925) 330-5157 | 6200 Center St Suite I Clayton CA 94517-1446 Ph: (925) 330-5157 |
NPI Number | 1558814368 |
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Provider Enumeration Date | 07/28/2016 |
Last Update Date | 11/08/2016 |
Identifier | Type | State | Issuer |
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1558814368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 59878 (California) | Primary |