Hacienda Dental, INC
NPI #1619126398 in Pleasanton, California
Provider Information
- NPI Number
- 1619126398
- Entity Type
- Organization
- Organization Name
- Hacienda Dental, INC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 17, 2008
- Last Updated
- Sep 17, 2008
Practice Location
- Address
- 5674 STONERIDGE DR
- Address 2
- SUITE 111
- City
- Pleasanton
- State
- California
- ZIP Code
- 94588-8500
- Phone
- (925) 734-0104
Authorized Official
- Name
- DR. WILSON MYERS JR., D.D.S
- Title
- OWNER/DOCTOR
- Phone
- (925) 734-0104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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