| Piedmont Pediatric Dentistry | |
|
1333 Grand Ave Piedmont CA 94610-1079 | |
| (510) 652-2603 | |
| Not Available |
| Full Name | Piedmont Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1333 Grand Ave, Piedmont, California |
| Authorized Official Name and Position | Reinaldo J Negron (OWNER) |
| Authorized Official Contact | 5106522603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Pediatric Dentistry 1333 Grand Ave Piedmont CA 94610-1079 Ph: (510) 652-2603 | Piedmont Pediatric Dentistry 1333 Grand Ave Piedmont CA 94610-1079 Ph: (510) 652-2603 |
| NPI Number | 1902056088 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902056088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 47137 (California) | Primary |
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