# ADVANTA DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124234406
- **Authorized official:** FARNK M. VARGAS (PRESIDENT)
- **Authorized official phone:** (510) 889-6900

## Contact information

- **Practice address:** 22535 SECOND ST., HAYWARD, CA 94541
- **Practice address phone:** (510) 889-6900
- **Mailing address:** 22535 SECOND ST., HAYWARD, CA 94541
- **Mailing address phone:** (510) 889-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 06/16/2008