Dr Khushbu Aggarwal Gopalakrishnan, DDS | |
3081 Teagarden St, San Leandro, CA 94577-5720 | |
(510) 347-4620 | |
Not Available |
Full Name | Dr Khushbu Aggarwal Gopalakrishnan |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 3081 Teagarden St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841604048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 64815 (California) | Secondary |
1223G0001X | Dentist - General Practice | DDS64815 (California) | Primary |
Entity Name | The Davis Street Community Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
Mailing Address | Practice Location Address |
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Dr Khushbu Aggarwal Gopalakrishnan, DDS 3110 Kerner Blvd, San Rafael, CA 94901 Ph: (415) 448-1500 | Dr Khushbu Aggarwal Gopalakrishnan, DDS 3081 Teagarden St, San Leandro, CA 94577-5720 Ph: (510) 347-4620 |
Mr. Jeffrey R Clayton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 345 Estudillo Ave, Suite 100, San Leandro, CA 94577 Phone: 510-483-5111 Fax: 510-483-9793 | |
Dr. John J Jaber, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 286 Juana Ave, San Leandro, CA 94577 Phone: 510-895-1470 Fax: 510-895-1473 | |
Dr. Chris Junbum Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 510-545-4588 | |
Dr. Youjia Ma Ferdowsian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 510-545-4588 | |
Michelle Ma, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 626-485-8388 | |
Audrey Min, Dentist Medicare: Not Enrolled in Medicare Practice Location: 680 Bancroft Ave, San Leandro, CA 94577 Phone: 510-569-0218 | |
Vian Ngo, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1598 Washington Ave, San Leandro, CA 94577 Phone: 510-545-4588 |