S. T. Banatao DDS Inc.

NPI #1699308031 in Newark, California

Provider Information

NPI Number
1699308031
Entity Type
Organization
Organization Name
S. T. Banatao DDS Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 13, 2020
Last Updated
Feb 13, 2020

Practice Location

Address
35124 NEWARK BLVD
City
Newark
ZIP Code
94560-1220
Phone
(510) 796-3441

Authorized Official

Name
SOFRONIO TOLENTINO BANATAO, DDS
Title
CEO
Phone
(510) 796-3441

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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