Castro Valley Dental Care
Clinic/Center, Dental in Castro Valley, CA. Organization (NPI-2).
NPI number1124540950
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124540950
- Entity type
- Organization (NPI-2)
- Legal business name
- Castro Valley Dental Care
- Organization subpart
- No
- Enumeration date
- Jul 13, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 57136 | CA | Yes |
Practice location
3603 Jamison WayCastro Valley, CA 94546
Phone 510-881-1924
Mailing address
3603 Jamison WayCastro Valley, CA 94546-4303
Phone 510-881-1924
Authorized official
Carol Ann Leonard
Office Manager
5108811924
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