Hesperian Dental Group INC
NPI #1376305425 in San Lorenzo, California
Provider Information
- NPI Number
- 1376305425
- Entity Type
- Organization
- Organization Name
- Hesperian Dental Group INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 24, 2024
- Last Updated
- Jan 24, 2024
Practice Location
- Address
- 17760 HESPERIAN BLVD
- City
- San Lorenzo
- State
- California
- ZIP Code
- 94580-3037
- Phone
- (510) 363-8826
Authorized Official
- Name
- SUSAN GALVAN
- Title
- ADMINISTRATOR
- Phone
- (408) 627-1628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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