| Mission Peak Dental Care | |
|
39572 Stevenson Pl Ste 227 Fremont CA 94539-3113 | |
| (510) 790-0590 | |
| Not Available |
| Full Name | Mission Peak Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39572 Stevenson Pl Ste 227, Fremont, California |
| Authorized Official Name and Position | Mark Loisel (PRESIDENT) |
| Authorized Official Contact | 5107900590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Peak Dental Care 39572 Stevenson Pl Ste 227 Fremont CA 94539-3113 Ph: (510) 790-0590 | Mission Peak Dental Care 39572 Stevenson Pl Ste 227 Fremont CA 94539-3113 Ph: (510) 790-0590 |
| NPI Number | 1174701304 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174701304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30917 (California) | Primary |
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