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Organization
OUTREACH DENTAL GROUP
Active
Organization
OUTREACH DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBINA BATCHAEVA DDS (CEO)
(415) 297-0378
Entity
Organization
Contact information
Practice address
450 SUTTER ST RM 1925, SAN FRANCISCO, CA 94108-4107
(415) 297-0378
Mailing address
2194 VIZCAYA CIR, CAMPBELL, CA 95008-5646
(415) 297-0378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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