| Surfside Kids Dental | |
|
675 Contra Costa Blvd Pleasant Hill CA 94523-1514 | |
| (925) 689-5800 | |
| (925) 689-5887 |
| Full Name | Surfside Kids Dental |
|---|---|
| Speciality | Dentist |
| Location | 675 Contra Costa Blvd, Pleasant Hill, California |
| Authorized Official Name and Position | Joseph Rawlins (PRESIDENT) |
| Authorized Official Contact | 9162299941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Kids Dental Po Box 4785 El Dorado Hills CA 95762-0024 Ph: (925) 689-5800 | Surfside Kids Dental 675 Contra Costa Blvd Pleasant Hill CA 94523-1514 Ph: (925) 689-5800 |
| NPI Number | 1952785339 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952785339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51046 (California) | Primary |
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