Organization · NPI-2
Amador Valley Dental X-Ray INC.
Radiologic Technologist, Radiography · Pleasanton, CA
NPI number1447511464
StatusActive
Last updated in NPPESJun 6, 2012
Details
- NPI
- 1447511464
- Entity type
- Organization (NPI-2)
- Legal business name
- Amador Valley Dental X-Ray INC.
- Organization subpart
- No
- Enumeration date
- Jun 6, 2012
- Last updated
- Jun 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3402X | Radiologic Technologist, Radiography | RHP00041624 | CA | Yes |
| 247100000X | Radiologic Technologist | RHP00041624 | CA | |
| 2471C3401X | Radiologic Technologist, Computed Tomography | RHP00041624 | CA |
Other names
- C&G Dental X-Ray (Doing Business As)
Practice location
1475 Cedarwood Ln Ste DPleasanton, CA 94566-6128
Phone 925-846-9291 · Fax 925-846-9260
Mailing address
1475 Cedarwood Ln Ste DPleasanton, CA 94566-6128
Phone 925-846-9291 · Fax 925-846-9260
Authorized official
Nancy Furtado
Vice Pres.
9258469291
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