| Jishen Na, D.d.s. Inc | |
|
40928 Fremont Blvd Fremont CA 94538-4375 | |
| (510) 656-9998 | |
| Not Available |
| Full Name | Jishen Na, D.d.s. Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 40928 Fremont Blvd, Fremont, California |
| Authorized Official Name and Position | Jishen Na (CHAIRMAN) |
| Authorized Official Contact | 5106569998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jishen Na, D.d.s. Inc 40928 Fremont Blvd Fremont CA 94538-4375 Ph: (510) 656-9998 | Jishen Na, D.d.s. Inc 40928 Fremont Blvd Fremont CA 94538-4375 Ph: (510) 656-9998 |
| NPI Number | 1023221595 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023221595 | NPI | - | NPPES |
| 1710108717 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45933 (California) | Primary |
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