Individual provider · NPI-1

Paul Acosta, RDA

Dental Assistant · Oakland, CA

NPI number1932529658
StatusActive
Last updated in NPPESApr 21, 2014

Details

NPI
1932529658
Entity type
Individual (NPI-1)
Name
Mr. Paul Acosta
Credential
RDA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2014
Last updated
Apr 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental AssistantRDA82431CAYes

Practice location

2950 International Blvd
Oakland, CA 94601-2228

Phone 510-535-4450 · Fax 510-535-4494

Mailing address

2950 International Blvd
Oakland, CA 94601-2228

Phone 510-535-4450 · Fax 510-535-4494

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