| Anna Witanto DDS, Inc. | |
|
33137 Alvarado Niles Rd Union City CA 94587-3109 | |
| (510) 489-6900 | |
| Not Available |
| Full Name | Anna Witanto DDS, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 33137 Alvarado Niles Rd, Union City, California |
| Authorized Official Name and Position | Anna Witanto (OWNER) |
| Authorized Official Contact | 5104896900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Witanto DDS, Inc. 33137 Alvarado Niles Rd Union City CA 94587-3109 | Anna Witanto DDS, Inc. 33137 Alvarado Niles Rd Union City CA 94587-3109 Ph: (510) 489-6900 |
| NPI Number | 1497267959 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497267959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (California) | Primary |
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