| Blake Wang Dmd Pc | |
|
2067 Ygnacio Valley Rd Walnut Creek CA 94598-3301 | |
| (925) 934-1211 | |
| Not Available |
| Full Name | Blake Wang Dmd Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2067 Ygnacio Valley Rd, Walnut Creek, California |
| Authorized Official Name and Position | Blake Yuanxing Wang (OWNER) |
| Authorized Official Contact | 7813256621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Wang Dmd Pc 3725 First St Livermore CA 94551-4905 Ph: (781) 325-6621 | Blake Wang Dmd Pc 2067 Ygnacio Valley Rd Walnut Creek CA 94598-3301 Ph: (925) 934-1211 |
| NPI Number | 1174121354 |
|---|---|
| Provider Enumeration Date | 10/11/2020 |
| Last Update Date | 10/11/2020 |
| Medicare PECOS PAC ID | 7618365982 |
|---|---|
| Medicare Enrollment ID | O20211020000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174121354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Blake Yuanxing Wang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811507544 PECOS PAC ID: 6800284175 Enrollment ID: I20211020000310 |
| Provider Name | Xiaorong Chen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558383034 PECOS PAC ID: 3072901503 Enrollment ID: I20211102001512 |
Ryan Miyasaki Dental Clinic Medicare: Medicare Enrolled Practice Location: 2225 Olympic Blvd, Walnut Creek, CA 94595 Phone: 925-934-3251 Fax: 925-934-2136 | |
Towle Wolter Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2229 Olympic Blvd, Walnut Creek, CA 94595 Phone: 925-933-5677 Fax: 925-939-7650 | |
Jane Jiao, Dds, Mmsc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 San Miguel Dr, Walnut Creek, CA 94596 Phone: 925-934-5586 | |
Golden State Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2161 Ygnacio Valley Rd Ste 101, Walnut Creek, CA 94598 Phone: 925-705-7093 Fax: 925-952-7050 | |
Pope Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1844 San Miguel Drive, Suite 200, Walnut Creek, CA 94596 Phone: 925-939-4989 Fax: 925-939-4991 | |
Bay Area Sound Sleep Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 La Casa Via Ste 202, Walnut Creek, CA 94598 Phone: 925-933-5446 | |
Walnut Creek Dental Studio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Petticoat Ln, Walnut Creek, CA 94596 Phone: 925-932-4811 |