| Youthful Tooth | |
|
2762 Pinole Valley Rd. Pinole CA 94564 | |
| (510) 758-6684 | |
| (510) 669-2083 |
| Full Name | Youthful Tooth |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2762 Pinole Valley Rd., Pinole, California |
| Authorized Official Name and Position | Jeffrey Alexander (OWNER) |
| Authorized Official Contact | 5105683577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youthful Tooth 2762 Pinole Valley Rd. Pinole CA 94564 Ph: (510) 758-6684 | Youthful Tooth 2762 Pinole Valley Rd. Pinole CA 94564 Ph: (510) 758-6684 |
| NPI Number | 1982770988 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982770988 | NPI | - | NPPES |
| G93765 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26327 (California) | Primary |
Michael J.h. Mcdonald Dmd,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Tara Hills Dr, Suite B, Pinole, CA 94564 Phone: 510-724-5064 Fax: 510-724-1887 | |
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Pinole Valley Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 Pinole Valley Rd Ste C, Pinole, CA 94564 Phone: 510-334-1593 | |
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