| Piedmont Dental By Design | |
|
1331 Grand Avenue Piedmont CA 94610 | |
| (510) 652-2911 | |
| (510) 652-0772 |
| Full Name | Piedmont Dental By Design |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1331 Grand Avenue, Piedmont, California |
| Authorized Official Name and Position | Jill Ann Martenson (OWNER DENTIST) |
| Authorized Official Contact | 5106522911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Dental By Design 1331 Grand Avenue Piedmont CA 94610 Ph: (510) 652-2911 | Piedmont Dental By Design 1331 Grand Avenue Piedmont CA 94610 Ph: (510) 652-2911 |
| NPI Number | 1245444678 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245444678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24458 (California) | Primary |
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