| Pediatric Dentistry | |
|
2640 Telegraph Ave Suite 101 Berkeley CA 94704-3374 | |
| (510) 848-6494 | |
| (510) 981-1159 |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2640 Telegraph Ave, Berkeley, California |
| Authorized Official Name and Position | Mahi Amerino (DENTAL PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5108486494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry 2640 Telegraph Ave Suite 101 Berkeley CA 94704-3374 Ph: (510) 848-6494 | Pediatric Dentistry 2640 Telegraph Ave Suite 101 Berkeley CA 94704-3374 Ph: (510) 848-6494 |
| NPI Number | 1043340227 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043340227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 32728 (California) | Primary |
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