| Advanced Dentistry and Periodontics of Antioch | |
|
2730 Lone Tree Way Ste 2 Antioch CA 94509-4964 | |
| (925) 757-5000 | |
| Not Available |
| Full Name | Advanced Dentistry and Periodontics of Antioch |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2730 Lone Tree Way Ste 2, Antioch, California |
| Authorized Official Name and Position | Ryan Reyes (OWNER) |
| Authorized Official Contact | 9257575000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dentistry and Periodontics of Antioch 2730 Lone Tree Way Ste 2 Antioch CA 94509-4964 Ph: (925) 757-5000 | Advanced Dentistry and Periodontics of Antioch 2730 Lone Tree Way Ste 2 Antioch CA 94509-4964 Ph: (925) 757-5000 |
| NPI Number | 1710855945 |
|---|---|
| Provider Enumeration Date | 10/28/2025 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710855945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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