| Primary Teeth Pediatric Dentistry | |
|
3085 Telegraph Ave Berkeley CA 94705-2035 | |
| (510) 984-1768 | |
| (510) 984-1769 |
| Full Name | Primary Teeth Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3085 Telegraph Ave, Berkeley, California |
| Authorized Official Name and Position | Evan Y Chang (CEO) |
| Authorized Official Contact | 3109380423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Teeth Pediatric Dentistry 1844 Market St Unit 208 San Francisco CA 94102-6288 Ph: (310) 938-0423 | Primary Teeth Pediatric Dentistry 3085 Telegraph Ave Berkeley CA 94705-2035 Ph: (510) 984-1768 |
| NPI Number | 1124888144 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124888144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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