Carlene a Mendieta DDS

NPI #1780668020 in Pinole, California

Provider Information

NPI Number: 1780668020
Entity Type: Organization
Organization Name: Carlene a Mendieta DDS
Primary Specialty: Dentist - Periodontics
Enumeration Date: Nov 30, 2005
Last Updated: Jul 14, 2008

Practice Location

Address: 1420 TARA HILLS DR
Address 2: #C
City: Pinole
State: California
ZIP Code: 94564-2530
Phone: (510) 724-8441

Authorized Official

Name: MS. CARLENE A MENDIETA, DDS
Title: OWNER
Phone: (510) 724-8441

Specialties & Taxonomy Codes

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

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