Wellspring Dental Group | |
1700 Pennsylvania Ave Suite D Fairfield CA 94533-3588 | |
(925) 336-9611 | |
Not Available |
Full Name | Wellspring Dental Group |
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Speciality | Dentist - General Practice |
Location | 1700 Pennsylvania Ave, Fairfield, California |
Authorized Official Name and Position | Hyo S Kang (PRESIDENT) |
Authorized Official Contact | 9253369611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellspring Dental Group 8051 Briar Oaks Dr San Ramon CA 94582-5196 Ph: (925) 336-9611 | Wellspring Dental Group 1700 Pennsylvania Ave Suite D Fairfield CA 94533-3588 Ph: (925) 336-9611 |
NPI Number | 1548618580 |
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Provider Enumeration Date | 06/01/2016 |
Last Update Date | 06/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548618580 | NPI | - | NPPES |
1972793651 | Other | CA | NATIONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 56041 (California) | Primary |
Soltani & Po,d.d.s., Inc. Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2560 N Texas St, Suite H, Fairfield, CA 94533 Phone: 707-422-5441 Fax: 707-426-3390 | |
Reeves, D.d.s. And Lavalley, D.d.s., A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3694 Hilborn Rd Ste 100, Fairfield, CA 94534 Phone: 707-422-5444 | |
Mora Family Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 Pennsylvania Ave, Fairfield, CA 94533 Phone: 707-425-6216 Fax: 707-425-6241 | |
Niousha Saghafi, Dds, Msd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Oliver Rd Ste 330, Fairfield, CA 94534 Phone: 707-716-1783 | |
David A. Sestero, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Oliver Rd, Fairfield, CA 94534 Phone: 707-427-3172 | |
County Of Solano Dental Clinic Medicare: Medicare Enrolled Practice Location: 2201 Courage Drive, Fairfield, CA 94533 Phone: 707-784-2010 Fax: 707-435-2032 | |
Valle Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1955 W Texas St Ste 12, Fairfield, CA 94533 Phone: 707-428-5400 Fax: 916-384-3844 |