| Northern California Facial And Oral Surgery Centers | |
|
345 Estudillo Ave Suite 100 San Leandro CA 94577 | |
| (510) 483-5111 | |
| (510) 483-9793 |
| Full Name | Northern California Facial And Oral Surgery Centers |
|---|---|
| Speciality | Dentist |
| Location | 345 Estudillo Ave, San Leandro, California |
| Authorized Official Name and Position | Jeffrey Clayton (OWNER/PARTNER) |
| Authorized Official Contact | 5104835111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Facial And Oral Surgery Centers 345 Estudillo Ave Suite 100 San Leandro CA 94577 Ph: (510) 483-5111 | Northern California Facial And Oral Surgery Centers 345 Estudillo Ave Suite 100 San Leandro CA 94577 Ph: (510) 483-5111 |
| NPI Number | 1780984252 |
|---|---|
| Provider Enumeration Date | 10/29/2010 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780984252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39775 (California) | Secondary |
| 122300000X | Dentist | 39567 (California) | Primary |
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