| Thornton Dental | |
|
4364 Thorton Avenue Fremont CA 94536 | |
| (510) 793-8121 | |
| (510) 793-8210 |
| Full Name | Thornton Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4364 Thorton Avenue, Fremont, California |
| Authorized Official Name and Position | Estrella Callejo Trinidad (PRESIDENT) |
| Authorized Official Contact | 5107938121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thornton Dental 4364 Thorton Avenue Fremont CA 94536 Ph: (510) 793-8121 | Thornton Dental 4364 Thorton Avenue Fremont CA 94536 Ph: (510) 793-8121 |
| NPI Number | 1801966312 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801966312 | NPI | - | NPPES |
| D4504501 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45045 (California) | Primary |
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