Center for Implant Dentistry Prestige Dental Group
Center for Implant Dentistry Prestige Dental Group is an Oral and Maxillofacial Surgery (Dentist) in Fremont, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3381 Walnut AveFremont, CA 94538-2217
Phone: (510) 574-0496
Fax: (510) 574-0499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|
Record details
| NPI number | 1992314421 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Manuel Fuentes — Billing Manger · (310) 870-9652 |
| NPI enumerated | July 30, 2020 |
| Last updated in NPPES | July 30, 2020 |
| Certification date | July 30, 2020 |
| Mailing address | 3381 Walnut Ave, Fremont, CA 94538-2217 |
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