North Shore Dental LLC

NPI #1750519682 in Hercules, California

Provider Information

NPI Number: 1750519682
Entity Type: Organization
Organization Name: North Shore Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jun 30, 2009
Last Updated: Jun 30, 2009

Practice Location

Address: 500 ALFRED NOBEL DR.
Address 2: SUITE 240
City: Hercules
State: California
ZIP Code: 94547
Phone: (510) 741-2140

Authorized Official

Name: TUONG-VAN B. HYLAND, DDS
Title: CEO, DDS
Phone: (510) 741-2140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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