The Peterson-chan Dental Group

NPI 1225274764 - Dentist - 1223G0001X

NPI Details
NPI 1225274764
Enumeration Date 01/06/2009
Last Updated 01/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MELINDA JEAN MELINDA
Position OWNER
Phone (510) 654-2226
Fax (510) 595-1455
Practice Location
5277 COLLEGE AVE #203
OAKLAND CA, 94618-1437, US
Phone (510) 654-2226
Fax (510) 595-1455
Business Location
5277 COLLEGE AVE #203
OAKLAND CA, 94618-1437, US
Phone (510) 654-2226
Fax (510) 595-1455
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, The Peterson-chan Dental Group NPI is 1225274764, taxonomy code is 1223G0001X The Peterson-chan Dental Group physically located at 5277 College Ave #203, Oakland CA, 94618-1437. NPI Number 1033115704 has the healthcare provider type.

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1225274764 NPI number is provided on an as is basis without warranty of any kind. 1225274764 is maintained by the National Plan & Provider Enumeration System. The contents of The Peterson-chan Dental Group are for informational purposes only.