| Oakland Dental Associates | |
|
2648 International Blvd Ste 602 Oakland CA 94601-1547 | |
| (917) 650-6820 | |
| Not Available |
| Full Name | Oakland Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 2648 International Blvd Ste 602, Oakland, California |
| Authorized Official Name and Position | Jackie Dong (CEO) |
| Authorized Official Contact | 9176506820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Dental Associates 2648 International Blvd Ste 602 Oakland CA 94601-1547 | Oakland Dental Associates 2648 International Blvd Ste 602 Oakland CA 94601-1547 Ph: (917) 650-6820 |
| NPI Number | 1649963273 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649963273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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