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Organization
KOLL CENTER DENTAL GROUP
Active
Organization
KOLL CENTER DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRYSTYNE VU (OFFICE MANAGER)
(925) 484-2828
Entity
Organization
Contact information
Practice address
6654 KOLL CENTER PKWY STE 350, PLEASANTON, CA 94566-3125
(925) 484-2828
(925) 484-4504
Mailing address
6654 KOLL CENTER PKWY STE 350, PLEASANTON, CA 94566-3125
(925) 484-2828
(925) 484-4504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47258
CA
1223G0001X
General Practice Dentistry
49207
CA
Other
Enumeration date
03/19/2009
Last updated
04/28/2009
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