South Shore Dental

NPI #1942695457 in Alameda, California

Provider Information

NPI Number: 1942695457
Entity Type: Organization
Organization Name: South Shore Dental
Primary Specialty: Dentist
Enumeration Date: Apr 1, 2015
Last Updated: Apr 1, 2015

Practice Location

Address: 2111 WHITEHALL PL STE C
City: Alameda
State: California
ZIP Code: 94501-6160
Phone: (510) 523-5323

Authorized Official

Name: MATTHEW JIN LAU, DDS
Title: OWNER
Phone: (510) 846-8556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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