San Pablo Dental Management INC
NPI #1861082836 in El Cerrito, California
Provider Information
- NPI Number
- 1861082836
- Entity Type
- Organization
- Organization Name
- San Pablo Dental Management INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 22, 2021
- Last Updated
- Jan 22, 2021
Practice Location
- Address
- 11100 SAN PABLO AVE
- City
- El Cerrito
- State
- California
- ZIP Code
- 94530-2194
- Phone
- (510) 233-9022
Authorized Official
- Name
- JEREMIE RESPICIO
- Title
- MANAGER
- Phone
- (415) 301-9450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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