| Terecita Dean, D.d.s. | |
|
2017 Central Ave Alameda CA 94501-4210 | |
| (510) 522-0878 | |
| (510) 522-0894 |
| Full Name | Terecita Dean, D.d.s. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 2017 Central Ave, Alameda, California |
| Authorized Official Name and Position | Terecita Dean (OWNER) |
| Authorized Official Contact | 5105220878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terecita Dean, D.d.s. 2017 Central Ave Alameda CA 94501-4210 Ph: () - | Terecita Dean, D.d.s. 2017 Central Ave Alameda CA 94501-4210 Ph: (510) 522-0878 |
| NPI Number | 1831496785 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831496785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37095 (California) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 37095 (California) | Primary |
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