| Village Square Dental Center, Inc. | |
|
8265 Village Pkwy Ste. E Dublin CA 94568-1254 | |
| (925) 875-9700 | |
| Not Available |
| Full Name | Village Square Dental Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 8265 Village Pkwy, Dublin, California |
| Authorized Official Name and Position | Maria Ligaya Bravo (DENTIST) |
| Authorized Official Contact | 9258759700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Square Dental Center, Inc. 8265 Village Pkwy Ste. E Dublin CA 94568-1254 Ph: (925) 875-9700 | Village Square Dental Center, Inc. 8265 Village Pkwy Ste. E Dublin CA 94568-1254 Ph: (925) 875-9700 |
| NPI Number | 1386176790 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386176790 | NPI | - | NPPES |
| 1962629097 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46092 (California) | Primary |
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