| Allstar Pediatric Dentistry | |
|
3432 Hillcrest Ave Ste 150 Antioch CA 94531-6310 | |
| (925) 503-1123 | |
| Not Available |
| Full Name | Allstar Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3432 Hillcrest Ave Ste 150, Antioch, California |
| Authorized Official Name and Position | Tyler Beninati (CEO) |
| Authorized Official Contact | 6034757986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allstar Pediatric Dentistry 3432 Hillcrest Ave Ste 150 Antioch CA 94531-6310 Ph: (925) 503-1123 | Allstar Pediatric Dentistry 3432 Hillcrest Ave Ste 150 Antioch CA 94531-6310 Ph: (925) 503-1123 |
| NPI Number | 1104616218 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Certification Date | 05/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104616218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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