| Innovo Dental and Implant Studio | |
|
1376 Concannon Blvd Livermore CA 94550-6004 | |
| (937) 369-7843 | |
| Not Available |
| Full Name | Innovo Dental and Implant Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1376 Concannon Blvd, Livermore, California |
| Authorized Official Name and Position | Tejdeep Rattan (CEO/PRESIDENT) |
| Authorized Official Contact | 9373697843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovo Dental and Implant Studio 919 S Fulton St Tracy CA 95391-1402 Ph: (937) 369-7843 | Innovo Dental and Implant Studio 1376 Concannon Blvd Livermore CA 94550-6004 Ph: (937) 369-7843 |
| NPI Number | 1558053116 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558053116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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