| Bay Area Kids Dentist | |
|
2975 Bowers Ave Suite 101 Santa Clara CA 95051-0955 | |
| (408) 736-3500 | |
| (408) 834-7506 |
| Full Name | Bay Area Kids Dentist |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2975 Bowers Ave, Santa Clara, California |
| Authorized Official Name and Position | Yahya Hatem Radwan (OWNER) |
| Authorized Official Contact | 4087363500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Kids Dentist 2975 Bowers Ave Suite 101 Santa Clara CA 95051-0955 Ph: (408) 736-3500 | Bay Area Kids Dentist 2975 Bowers Ave Suite 101 Santa Clara CA 95051-0955 Ph: (408) 736-3500 |
| NPI Number | 1790229375 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790229375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 56047 (California) | Primary |
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