| Alameda Dental Studio | |
|
2000 Ardent Way Ste 200 Alameda CA 94501-7643 | |
| (510) 629-5100 | |
| (510) 629-6859 |
| Full Name | Alameda Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 Ardent Way Ste 200, Alameda, California |
| Authorized Official Name and Position | Derrell Washington (OWNER DENTIST) |
| Authorized Official Contact | 3178098034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alameda Dental Studio 2000 Ardent Way Ste 200 Alameda CA 94501-7643 Ph: (510) 629-5100 | Alameda Dental Studio 2000 Ardent Way Ste 200 Alameda CA 94501-7643 Ph: (510) 629-5100 |
| NPI Number | 1669293049 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669293049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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