A Professional Dental Corp.

NPI #1639174279 in Antioch, California

Provider Information

NPI Number: 1639174279
Entity Type: Organization
Organization Name: A Professional Dental Corp.
Primary Specialty: Dentist - Periodontics
Enumeration Date: Jun 20, 2005
Last Updated: Jun 13, 2008

Practice Location

Address: 3505 LONE TREE WAY
Address 2: STE 7
City: Antioch
State: California
ZIP Code: 94509-6067
Phone: (925) 756-7884

Authorized Official

Name: MRS. KELLY ANN BUTTI
Title: OFFICE MANAGER
Phone: (925) 756-7884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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