| Winning Smile Dental Group | |
|
12732 San Pablo Ave Richmond CA 94805-1303 | |
| (510) 233-3100 | |
| (510) 233-3434 |
| Full Name | Winning Smile Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12732 San Pablo Ave, Richmond, California |
| Authorized Official Name and Position | Brandi De Armon (REGIONAL MANAGER) |
| Authorized Official Contact | 2092631505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winning Smile Dental Group 12732 San Pablo Ave Richmond CA 94805-1303 Ph: (510) 233-3100 | Winning Smile Dental Group 12732 San Pablo Ave Richmond CA 94805-1303 Ph: (510) 233-3100 |
| NPI Number | 1891143780 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891143780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
| 1223E0200X | Dentist - Endodontics | (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (California) | Secondary |
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